SEEMA R MAMTORA (PA-C) – Physician Assistant, NPI 1043509607
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,035 PHYSICIAN ASSISTANT in IL
Provider Addresses for SEEMA R MAMTORA (PA-C)
2320 HIGH ST
BLUE ISLAND, IL 604062426
Phone: (708) 388-5500
Fax: (708) 388-5672
Type: Mailing
17495 LA GRANGE RD
TINLEY PARK, IL 604877581
Phone: (708) 226-7000
Fax: (708) 388-5672
Type: Location
1001 COMMERCE DR STE 700
OAK BROOK, IL 605238865
Phone: (312) 732-4490
Fax: (312) 732-4491
Type: Mailing
7425 JANES AVE
WOODRIDGE, IL 605172356
Phone: (815) 300-7764
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $205.
Total Amount is formed as General ($205) + Research ($0) + Ownership ($0) = $205.
Last reported payment date: 2023-10-16 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($108).
Total Amount
$205
General + Research + Ownership
Payments
7
Total payment records
General Amount
$205
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-10-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $108 |
| Genentech USA, Inc. | $40 |
| Stemline Therapeutics Inc. | $21 |
| Foundation Medicine, Inc. | $19 |
| Seagen Inc. | $17 |
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: 2011-09-23
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 |
|---|---|---|---|---|
| I20110923000397 | I | Physician Assistant | 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 |
|---|---|---|---|---|
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 156 | 73 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 154 | 108 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 29 | 27 | $0 |
Insurance plans in this area (ZIP 60406)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IL | |
| Diagnostic Radiology, Interventional Radiology | IL | |
| P A T H O L O G Y | IL | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal Medicine | IL | |
| G A S T R O E N T E R O L O G Y | IL | |
| Internal Medicine | IL | |
| Cardiac Electrophysiology, Cardiovascular Disease (Cardiology), Internal Medicine | MN | |
| - | IL | |
| Physical Therapist In Private Practice | IL | |
| Nurse Practitioner | IL |
Reviews
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