VIVEK IYENGAR (M.D.) – MOHS-Micrographic Surgery Physician, NPI 1073589297

VIVEK IYENGAR (M.D.) is a healthcare provider. based in Tinley park, Illinois. specializing in DERMATOLOGY. They hold the professional credentials M.D.. They hold a License No. 36106158 (IL). The NPI Number for VIVEK IYENGAR (M.D.) is 1073589297

Main info

Male
28 Years Of Experience
Accepts Medicare Assignment
Name
VIVEK IYENGAR (M.D.)
NPI
1073589297
Phone
(708) 444-8300
Address
18425 W WEST CREEK DR
Enumeration Date
27 February 2006
Last Update Date
7 December 2021

Doctor Profile

Medical School Name
UNIVERSITY OF MIAMI, LM MILLER SCHOOL OF MEDICINE
Secondary Phone
7084448300
Graduation Year
1998 (28 years ago)
PAC ID
4880591908
Group Practice PAC ID
8628027273
Professional Enrollment ID
I20031217000348
Address ID
IL604776768TI18425DRXX402

Contacts

FHIR Endpoint
viyengar284099@direct.myadvocateaurora.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

703 DERMATOLOGY in IL

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Provider Addresses for VIVEK IYENGAR (M.D.)

  • West Creek Drive & 183rd Street, West Creek Drive, Tinley Park, Will County, Illinois, 60477, United States

    STE F

    TINLEY PARK, IL 604776767

    Phone: (708) 444-8300

    Fax: (708) 444-8301

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 92 Open Payments records for all available years, with a total value of $2,160.

Total Amount is formed as General ($2,160) + Research ($0) + Ownership ($0) = $2,160.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: ABBVIE INC. ($510).

Total Amount

$2,160

General + Research + Ownership

Payments

92

Total payment records

General Amount

$2,160

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

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: 2003-12-17

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
I20031217000348IDermatologyILTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J7345Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg27,400115$0
J3245Injection, tildrakizumab, 1 mg5,00014$0
17003Destruction of precancer skin growth, 2-14 growths1,199227$0
G6001Ultrasonic guidance for placement of radiation therapy fields1,16055$0
77280Obtaining data needed to develop the optimal radiation treatment, 1 treatment area1,08954$0
View full utilization report →

Insurance plans in this area (ZIP 60477)

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Provider's Procedures

VIVEK IYENGAR (M.D.) performs procedures in DERMATOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DERMATOLOGYIL13132Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet309271

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: 8628027273View full group profile
NameSpecialtyState
Physician AssistantIL
P A T H O L O G YIL
D E R M A T O L O G YIL
Physician AssistantIL
Physician AssistantIL
D E R M A T O L O G YIL
Physician AssistantIL
D E R M A T O L O G YIL
Physician AssistantIN
Physician AssistantIL

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Frequently asked questions

What is the 10-digit NPI for VIVEK IYENGAR (M.D.)?
VIVEK IYENGAR (M.D.) — NPI 1073589297 — is the standard way to identify this listing.
Is VIVEK IYENGAR (M.D.) listed as active for patients and plans?
The listing shows VIVEK IYENGAR (M.D.) as active in the NPI system.
What is VIVEK IYENGAR (M.D.)'s primary classification?
MOHS-Micrographic Surgery Physician is the headline specialty for VIVEK IYENGAR (M.D.) here. Clinical services aligned with this taxonomy classification.
Does VIVEK IYENGAR (M.D.) list a practice location?
Patients near Tinley Park, Illinois may find VIVEK IYENGAR (M.D.) in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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