DR. ERAN GWILLIM (M.D.) – Dermatology Physician, NPI 1851787477
Dermatology Physician
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
207 DERMATOLOGY in AL
Provider Addresses for DR. ERAN GWILLIM (M.D.)
202 Rock Creek Pkwy
Fairhope, AL 365323349
Phone: (251) 928-3844
Type: Location
1673 MANESS CT
SYCAMORE, IL 601782909
Phone: (815) 762-1758
Type: Mailing
836 W WELLINGTON AVE
CHICAGO, IL 606575147
Phone: (773) 975-1600
Type: Location
801 YORK ST
MANITOWOC, WI 542204630
Phone: (920) 663-9008
Fax: (920) 684-1439
Type: Mailing
200 ROCK CREEK PKWY
FAIRHOPE, AL 365323349
Phone: (251) 928-3844
Type: Location
1600 NW 10TH AVE
MIAMI, FL 331361015
Phone: (305) 243-4472
Type: Mailing
1611 NW 12TH AVE
MIAMI, FL 331361005
Phone: (305) 243-4472
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 25 Open Payments records for all available years, with a total value of $10,731.
Total Amount is formed as General ($10,731) + Research ($0) + Ownership ($0) = $10,731.
Last reported payment date: 2024-06-14 • Largest payer in this snapshot: Boehringer Ingelheim Pharmaceuticals, Inc. ($9,452).
Total Amount
$10,731
General + Research + Ownership
Payments
25
Total payment records
General Amount
$10,731
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boehringer Ingelheim Pharmaceuticals, Inc. | $9,452 |
| Sun Pharmaceutical Industries Inc. | $229 |
| PFIZER INC. | $191 |
| GENZYME CORPORATION | $149 |
| Galderma Laboratories, L.P. | $139 |
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: 2025-08-29
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20250829000904 | I | Dermatology | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 36532)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WI | |
| Physician Assistant | VA | |
| - | VA | |
| D E R M A T O L O G Y | TX | |
| - | WI | |
| D E R M A T O L O G Y | AL | |
| D E R M A T O L O G Y | WI | |
| - | WI | |
| Physician Assistant | NY | |
| D E R M A T O L O G Y | WA |
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