DR. CARLOS ALBERTO URDININEA KIRKWOOD (M.D.) – Internal Medicine Physician, NPI 1003120783
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,824 INTERNAL MEDICINE in IL
Provider Addresses for DR. CARLOS ALBERTO URDININEA KIRKWOOD (M.D.)
PO BOX 530
HAVANA, IL 626440530
Phone: (309) 543-6600
Fax: (309) 543-2089
Type: Mailing
615 N PROMENADE ST
HAVANA, IL 626441243
Phone: (309) 543-6600
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 15 Open Payments records for all available years, with a total value of $264.
Total Amount is formed as General ($264) + Research ($0) + Ownership ($0) = $264.
Last reported payment date: 2024-11-05 • Largest payer in this snapshot: Novo Nordisk Inc ($141).
Total Amount
$264
General + Research + Ownership
Payments
15
Total payment records
General Amount
$264
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $141 |
| Bayer Healthcare Pharmaceuticals Inc. | $51 |
| Lilly USA, LLC | $27 |
| Dexcom, Inc. | $17 |
| AstraZeneca Pharmaceuticals LP | $15 |
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: 2015-08-03
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 |
|---|---|---|---|---|
| I20150803000029 | I | Internal Medicine | 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 62644)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IL | |
| Internal Medicine | IL | |
| Cardiovascular Disease (Cardiology) | IL | |
| Emergency Medicine | IL | |
| Diagnostic Radiology | NM | |
| Nurse Practitioner | IL | |
| - | IN | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology), Cardiovascular Disease (Cardiology) | IL |
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