DR. BLANCA ANAIS ESTUPINAN (MD) – Dermatology Physician, NPI 1487159604
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
703 DERMATOLOGY in IL
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Provider Addresses for DR. BLANCA ANAIS ESTUPINAN (MD)
150 E ROBINSON ST UNIT 1219
ORLANDO, FL 328011985
Phone: (863) 409-2629
Type: Mailing
University of Illinois at Chicago Hospital (UICH), 1740, West Taylor Street, Near West Side, Illinois Medical District, Chicago, Illinois Medical District, Illinois, 60612, United States
CHICAGO, IL 606127232
Phone: (866) 600-2273
Type: Location
20 PROSPECT AVE STE 702
HACKENSACK, NJ 076011974
Phone: (908) 359-8980
Type: Location
2160 S 1ST AVE
MAYWOOD, IL 601533328
Phone: (888) 584-7888
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 $599.
Total Amount is formed as General ($599) + Research ($0) + Ownership ($0) = $599.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: SUN PHARMACEUTICAL INDUSTRIES INC. ($183).
Total Amount
$599
General + Research + Ownership
Payments
25
Total payment records
General Amount
$599
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| SUN PHARMACEUTICAL INDUSTRIES INC. | $183 |
| Lilly USA, LLC | $134 |
| ABBVIE INC. | $123 |
| Incyte Corporation | $64 |
| Amgen Inc. | $34 |
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: 2025-10-09
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 |
|---|---|---|---|---|
| I20240723004012 | I | Dermatology | NJ | TBD |
| I20251009001270 | I | Dermatology | IL | 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 32801)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | IL | |
| D E R M A T O L O G Y | IL | |
| Physician Assistant | IL | |
| D E R M A T O L O G Y | CA | |
| D E R M A T O L O G Y | IL | |
| D E R M A T O L O G Y | IL | |
| Physician Assistant | NC | |
| Physician Assistant | IL | |
| D E R M A T O L O G Y | IA | |
| Physician Assistant | NY |
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