MATTHEW KOTTACKAL GEORGE (M.D.) – Vascular Surgery Physician, NPI 1821484601

MATTHEW KOTTACKAL GEORGE (M.D.) is a healthcare provider. based in New haven, Connecticut. specializing in VASCULAR SURGERY. They hold the professional credentials M.D.. They hold a License No. 036166381 (IL). The NPI Number for MATTHEW KOTTACKAL GEORGE (M.D.) is 1821484601

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
MATTHEW KOTTACKAL GEORGE (M.D.)
NPI
1821484601
Phone
(203) 785-2572
Address
330 CEDAR ST BLDG BB310
Enumeration Date
8 April 2015
Last Update Date
6 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7083469533
Graduation Year
2015 (11 years ago)
PAC ID
4688945660
Group Practice PAC ID
0345678132
Professional Enrollment ID
I20230825002566
Address ID
IL604151361CH10258HWYX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness85
Years active:11State licenses:2Digital endpointsOther names

120 VASCULAR SURGERY in CT

Provider Addresses for MATTHEW KOTTACKAL GEORGE (M.D.)

  • 330 CEDAR ST BLDG BB310

    NEW HAVEN, CT 065103218

    Phone: (203) 785-2572

    Type: Mailing

  • 20 YORK ST

    NEW HAVEN, CT 065103220

    Phone: (203) 785-2572

    Type: Location

  • 6421 BURBERRY DR

    ROCKFORD, IL 611147807

    Phone: (518) 391-0548

    Type: Mailing

  • 5666 E STATE ST

    ROCKFORD, IL 611082425

    Phone: (815) 226-2000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 32 Open Payments records for all available years, with a total value of $3,081.

Total Amount is formed as General ($3,081) + Research ($0) + Ownership ($0) = $3,081.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Medtronic, Inc. ($1,621).

Total Amount

$3,081

General + Research + Ownership

Payments

32

Total payment records

General Amount

$3,081

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-08-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230825002566IVascular SurgeryILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
93922Ultrasound study of arm and leg arteries3330$0
93926Ultrasound of one leg arteries or artery grafts1717$0
93880Ultrasound of both sides of head and neck blood flow1616$0
93978Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts1414$0
99204New patient office or other outpatient visit, 45-59 minutes1414$0
View full utilization report →

Insurance plans in this area (ZIP 06510)

Loading plans...

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0345678132View full group profile
NameSpecialtyState
Vascular SurgeryIL
-IL
Vascular Surgery, General SurgeryIL
Physician AssistantIL
Vascular SurgeryIL
Physician AssistantIL

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What unique ID ties claims to MATTHEW KOTTACKAL GEORGE (M.D.)?
NPI 1821484601 is assigned to MATTHEW KOTTACKAL GEORGE (M.D.) under the national enumeration system.
Does this profile mean MATTHEW KOTTACKAL GEORGE (M.D.) is currently active?
Yes — MATTHEW KOTTACKAL GEORGE (M.D.) appears active in the national provider directory.
What kind of provider is MATTHEW KOTTACKAL GEORGE (M.D.)?
The page reflects Vascular Surgery Physician for MATTHEW KOTTACKAL GEORGE (M.D.). Clinical services aligned with this taxonomy classification.
Does MATTHEW KOTTACKAL GEORGE (M.D.) practice in Connecticut?
You will see New Haven, Connecticut on file for MATTHEW KOTTACKAL GEORGE (M.D.) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

Similar Providers

330 CEDAR STREET, BOARDMAN 204
NPI: 1073567772

DR. ALAN DARDIK (M.D., PH.D.)

Vascular Surgery Physician
VA CONNECTICUT HEALTHCARE SYSTEMS
NPI: 1659309706

BAUER E SUMPIO (MD, PHD)

Vascular Surgery Physician
800, Howard Avenue, New Haven, New Haven County, Connecticut, 06519, United States
NPI: 1750498671

RAUL J. GUZMAN (M.D.)

Vascular Surgery Physician
330 Cedar St Bldg 204
NPI: 1083713416
Café George, 300, George Street, Downtown, New Haven, New Haven County, Connecticut, 06511, United States
NPI: 1588830566

YOUNG MI ERBEN (M.D.)

Vascular Surgery Physician
330 Cedar St
NPI: 1265697247

DR. NAIEM NASSIRI (MD)

Vascular Surgery Physician
Yale University, West Haven, New Haven County, Connecticut, 06516, United States
NPI: 1033366745