MALGORZATA KIWACZ (O.D.) – Optometrist, NPI 1013161710

MALGORZATA KIWACZ (O.D.) is a healthcare provider. based in Olympia fields, Illinois. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 046010172 (IL). The NPI Number for MALGORZATA KIWACZ (O.D.) is 1013161710

Main info

Female
Sole Proprietor
22 Years Of Experience
Accepts Medicare Assignment
Name
MALGORZATA KIWACZ (O.D.)
NPI
1013161710
Phone
(708) 481-4600
Address
19950 GOVERNORS HWY STE 202
Enumeration Date
6 November 2008
Last Update Date
8 January 2026

Doctor Profile

Medical School Name
ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Secondary Phone
7084814600
Graduation Year
2004 (22 years ago)
PAC ID
3971727033
Group Practice PAC ID
4587550223
Professional Enrollment ID
I20140610002007
Address ID
IL604611064OL19950HWYX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness85
Years active:17State licenses:1Digital endpointsOther names

1,715 OPTOMETRY in IL

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Provider Addresses for MALGORZATA KIWACZ (O.D.)

  • 19950 GOVERNORS HWY STE 202

    OLYMPIA FIELDS, IL 604613011

    Phone: (708) 481-4600

    Type: Mailing

  • Concourse Office Plaza North, 4711, Golf Road, Skokie, Niles Township, Cook County, Illinois, 60076, United States

    SUITE 525

    SKOKIE, IL 600761224

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 13 Open Payments records for all available years, with a total value of $582.

Total Amount is formed as General ($582) + Research ($0) + Ownership ($0) = $582.

Last reported payment date: 2024-06-27 • Largest payer in this snapshot: Johnson & Johnson Vision Care, Inc. ($280).

Total Amount

$582

General + Research + Ownership

Payments

13

Total payment records

General Amount

$582

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-27

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: 2014-06-10

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
I20140610002007IOptometryILTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60461)

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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: 4587550223View full group profile
NameSpecialtyState
-IL
O P T O M E T R YIL

Reviews

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Frequently asked questions

Where can patients find MALGORZATA KIWACZ (O.D.)'s NPI?
You can confirm MALGORZATA KIWACZ (O.D.) with NPI 1013161710; it appears in the national provider directory.
Is MALGORZATA KIWACZ (O.D.) currently active in the NPI registry?
CMS-published data lists MALGORZATA KIWACZ (O.D.) as an active registrant.
What does MALGORZATA KIWACZ (O.D.) treat or focus on?
Patients typically see MALGORZATA KIWACZ (O.D.) under the specialty Optometrist. Clinical services aligned with this taxonomy classification.
Where does public data place MALGORZATA KIWACZ (O.D.)?
The snapshot lists Olympia Fields, Illinois for MALGORZATA KIWACZ (O.D.); download NPPES for the complete set.
How can I contact MALGORZATA KIWACZ (O.D.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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