SHIVAM VIPUL AMIN (MD) – Ophthalmology Physician, NPI 1033679493
Ophthalmology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
250 OPHTHALMOLOGY in AL
Provider Addresses for SHIVAM VIPUL AMIN (MD)
2055 NORMANDIE DR STE 314
MONTGOMERY, AL 361112732
Phone: (334) 263-0105
Fax: (334) 264-4386
Type: Location
Harvester Drive, Burr Ridge, DuPage County, Illinois, 65027, United States
BURR RIDGE, IL 605276686
Phone: (773) 702-1150
Type: Mailing
5841 S MARYLAND AVE # MC2114
CHICAGO, IL 606371443
Phone: (773) 702-3937
Type: Location
2101 HIGHLAND AVE S STE 350
BIRMINGHAM, AL 352054009
Phone: (334) 263-0105
Fax: (334) 264-4386
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $287.
Total Amount is formed as General ($287) + Research ($0) + Ownership ($0) = $287.
Last reported payment date: 2024-09-18 • Largest payer in this snapshot: Alcon Vision LLC ($151).
Total Amount
$287
General + Research + Ownership
Payments
3
Total payment records
General Amount
$287
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Alcon Vision LLC | $151 |
| Bausch & Lomb Americas Inc. | $136 |
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: 2025-07-14
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20230614000875 | I | Ophthalmology | WI | TBD |
| I20250714000185 | I | Ophthalmology | AL | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 67028 | Injection of drug into eye | 36 | 34 | $0 |
| 92134 | Imaging of retina | 36 | 35 | $0 |
| 67042 | Removal of membrane of retina with removal of internal limiting membrane of retina | 12 | 12 | $0 |
Insurance plans in this area (ZIP 36111)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P H T H A L M O L O G Y | AL | |
| O P H T H A L M O L O G Y | AL |
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