CYNTHIA LULLO (PA-C) – Physician Assistant, NPI 1063063584

CYNTHIA LULLO (PA-C) is a healthcare provider. based in Evanston, Illinois. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 085.007432 (IL). The NPI Number for CYNTHIA LULLO (PA-C) is 1063063584

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
CYNTHIA LULLO (PA-C)
NPI
1063063584
Phone
(219) 242-3385
Address
1639 RIDGE AVE APT 10-1
Enumeration Date
25 September 2019
Last Update Date
22 November 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3123240222
Graduation Year
2019 (7 years ago)
PAC ID
2769818830
Group Practice PAC ID
8729064159
Professional Enrollment ID
I20200210000105
Address ID
IL604022220BE2201XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

5,035 PHYSICIAN ASSISTANT in IL

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Provider Addresses for CYNTHIA LULLO (PA-C)

  • 1639 RIDGE AVE APT 10-1

    EVANSTON, IL 602015970

    Phone: (219) 242-3385

    Type: Mailing

  • 1 N BROADWAY ST

    DES PLAINES, IL 600162335

    Phone: (847) 298-3150

    Type: Mailing

  • 1, North Broadway Street, Des Plaines, Cook County, Illinois, 60016, United States

    DES PLAINES, IL 600162335

    Phone: (847) 298-3150

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 96 Open Payments records for all available years, with a total value of $2,117.

Total Amount is formed as General ($2,117) + Research ($0) + Ownership ($0) = $2,117.

Last reported payment date: 2024-12-26 • Largest payer in this snapshot: Lilly USA, LLC ($211).

Total Amount

$2,117

General + Research + Ownership

Payments

96

Total payment records

General Amount

$2,117

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-26

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: 2020-02-10

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
I20200210000105IPhysician AssistantILTBD

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 60201)

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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: 8729064159View full group profile

Reviews

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Frequently asked questions

Does CYNTHIA LULLO (PA-C) have a public NPI I can cite?
Public records show CYNTHIA LULLO (PA-C) under NPI 1063063584.
Should I treat CYNTHIA LULLO (PA-C) as an active provider?
Patients and plans typically see CYNTHIA LULLO (PA-C) as active in the national extract.
What does the directory say CYNTHIA LULLO (PA-C) does?
Insurance directories may phrase it differently, but here CYNTHIA LULLO (PA-C) maps to Physician Assistant. Clinical services aligned with this taxonomy classification.
What city is tied to CYNTHIA LULLO (PA-C)?
The directory associates CYNTHIA LULLO (PA-C) with Evanston, Illinois. Check all listed addresses for suites or satellite offices.
Why is information missing for CYNTHIA LULLO (PA-C)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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