SHEBA AMPALLOOR (M.D.) – Emergency Medicine Physician, NPI 1023039138
Emergency Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for SHEBA AMPALLOOR (M.D.)
905, East Kimber Lane, Arlington Heights, Elk Grove Township, Cook County, Illinois, 60005, United States
ARLINGTON HTS, IL 600054320
Phone: (847) 427-8834
Type: Mailing
Provident Hospital of Cook County, 500, East 51st Street, Washington Park, Chicago, Hyde Park Township, Cook County, Illinois, 60615, United States
PROVIDENT HOSPITAL OF COOK COUNTY
CHICAGO, IL 606152400
Phone: (312) 572-1200
Fax: (312) 572-1294
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2008-01-03
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 |
|---|---|---|---|---|
| I20080103000751 | I | Emergency 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99283 | Emergency department visit with low level of medical decision making | 44 | 41 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 41 | 41 | $0 |
| 99285 | Emergency department visit with high level of medical decision making | 27 | 27 | $0 |
Insurance plans in this area (ZIP 60005)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IL | |
| Clinical Psychologist | IL | |
| - | IL | |
| - | IL | |
| - | IL | |
| - | IL | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology) | IL | |
| - | IL | |
| - | IL | |
| - | IL |
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