TULSI PRAVIN ROY (MD) – Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician, NPI 1063892354
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
282 PLASTIC AND RECONSTRUCTIVE SURGERY in IL
Provider Addresses for TULSI PRAVIN ROY (MD)
5841 S Maryland Ave # Mc6035
Suite J-641
Chicago, IL 606371447
Phone: (773) 702-6302
Fax: (773) 702-1634
Type: Location
5841 S MARYLAND AVE # MC6035
SUITE J-641
CHICAGO, IL 606371447
Phone: (773) 702-6302
Fax: (773) 702-1634
Type: Location
2040 OGDEN AVE STE 115
AURORA, IL 605047205
Phone: (630) 922-8825
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 11 Open Payments records for all available years, with a total value of $1,256.
Total Amount is formed as General ($1,256) + Research ($0) + Ownership ($0) = $1,256.
Last reported payment date: 2023-10-10 • Largest payer in this snapshot: Medical Device Business Services, Inc. ($1,008).
Total Amount
$1,256
General + Research + Ownership
Payments
11
Total payment records
General Amount
$1,256
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-10-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medical Device Business Services, Inc. | $1,008 |
| KLS-Martin L.P. | $150 |
| DePuy Synthes Sales Inc. | $99 |
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: 2022-08-20
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20220820000348 | I | Plastic And Reconstructive Surgery | 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 |
|---|---|---|---|---|
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 23 | 23 | $0 |
Insurance plans in this area (ZIP 60637)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| General Surgery | IL | |
| Internal Medicine | IL | |
| Emergency Medicine | IL | |
| Nurse Practitioner | IL | |
| Internal Medicine | IL | |
| Internal Medicine | IL | |
| - | IL | |
| Family Practice | IL | |
| - | IL | |
| Physician Assistant | IL |
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