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Deactivated NPI 1134439748 Deactivated / Inactive NPI Female Practitioner

Dr. Mabel Koshy , MD

Internal Medicine • Wheaton, IL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Mabel Koshy has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 15, 2010
NPI Deactivation Date January 25, 2021
Total Practice Duration ~11 Years of Practice (2010 – 2021)

Professional Overview & Biography Verified Profile Summary

Dr. Mabel Koshy, MD was a registered Internal Medicine practicing in Wheaton, IL. Throughout an active medical career spanning 11 years, Dr. Koshy provided care at the practice location at 1648 S. PROSPECT ST until profile deactivation on 2021-01-25.

Practice Location & Contact Primary Location

Practice Address

1648 S. Prospect St

Wheaton, IL 601897756

Telephone 6306821254

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Wheaton, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 24.8 Yrs
State Avg: 28.9 Yrs
Regional Practice Density
25 Specialists

Practicing in Wheaton, IL (7544 Statewide)

Telehealth Adoption Rate
56.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License IL 036047404

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Oommen Koshy , MD

Internal Medicine

NPI 1932533874

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated January 25, 2021

Record deactivated on January 25, 2021

NPI Profile Active October 15, 2010

NPI status registered as active in NPPES database

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Updated Practice Location October 15, 2010

Registered at 1648 S. PROSPECT ST, WHEATON, IL 601897756 (Tel: 6306821254)

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Updated Business Mailing Address October 15, 2010

Registered at 1648 S. PROSPECT ST, WHEATON, IL 601897756 (Tel: 6306821254)

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Provider Name / Credentials Updated October 15, 2010

Recorded as MABEL KOSHY, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 15, 2010

Internal Medicine (License #036047404 in IL)

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Initial NPI Registration & Enumeration October 15, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1134439748
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 15, 2010
Last Update: October 15, 2010
Deactivation Date: January 25, 2021

Mailing Address

1648 S. Prospect St

Wheaton, IL 601897756

Phone: 6306821254

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.