NINO IDOIDZE (MD) – Hospitalist Physician, NPI 1043487507
Hospitalist Physician
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
8,824 INTERNAL MEDICINE in IL
Provider Addresses for NINO IDOIDZE (MD)
23350 N PROVIDENCE DR
KILDEER, IL 600478092
Phone: (603) 832-8772
Type: Mailing
PO BOX 4145
WOBURN, MA 018884145
Phone: (603) 524-3211
Fax: (603) 527-7038
Type: Mailing
1775 DEMPSTER ST STE E592C
PARK RIDGE, IL 600681143
Phone: (312) 609-0300
Fax: (847) 723-4378
Type: Location
80 Highland St
Laconia, NH 032463235
Phone: (603) 524-3211
Type: Location
Lakes Region General Hospital, 80, Highland Street, Laconia, Belknap County, New Hampshire, 03246, United States
LACONIA, NH 032463235
Phone: (603) 524-3211
Type: Location
29373 NETWORK PL
CHICAGO, IL 606731293
Phone: (847) 390-5900
Type: Mailing
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: 2021-01-20
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 |
|---|---|---|---|---|
| I20210120002619 | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 774 | 296 | $0 |
| 99239 | Hospital discharge day management, more than 30 minutes | 216 | 202 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 205 | 197 | $0 |
| 99497 | Advance care planning, first 30 minutes | 148 | 139 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 94 | 40 | $0 |
Insurance plans in this area (ZIP 60047)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Cardiovascular Disease (Cardiology), Internal Medicine | IL | |
| Nephrology, Internal Medicine | IL | |
| A N E S T H E S I O L O G Y | IL | |
| Internal Medicine | IL | |
| Clinical Social Worker | IL | |
| - | MN | |
| - | IL | |
| - | IL | |
| Hospitalist, Internal Medicine | IL | |
| Physician Assistant | NC |
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