DR. REEBA ANNIE PRINCE (M.D.) – Dermatopathology Physician, NPI 1083903058

DR. REEBA ANNIE PRINCE (M.D.) is a healthcare provider. based in Maywood, Illinois. specializing in PATHOLOGY. They hold the professional credentials M.D.. They hold a License No. 13616-320 (WI). The NPI Number for DR. REEBA ANNIE PRINCE (M.D.) is 1083903058

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
DR. REEBA ANNIE PRINCE (M.D.)
NPI
1083903058
Phone
(708) 216-3250
Address
2160 S 1ST AVE
Enumeration Date
30 March 2011
Last Update Date
26 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2168441000
Graduation Year
2019 (7 years ago)
PAC ID
6800197609
Group Practice PAC ID
4789682493
Professional Enrollment ID
I20241028002581
Address ID
OH441061716CL11100AVEX300

Contacts

Secure Messaging
reeba.prince@forefrontdermatology.emadirect.md
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience82
Completeness95
Years active:15State licenses:3Other names

767 PATHOLOGY in IL

Provider Addresses for DR. REEBA ANNIE PRINCE (M.D.)

  • 2160 S 1ST AVE

    MAYWOOD, IL 601533328

    Phone: (708) 216-3250

    Type: Mailing

  • 801 YORK ST

    MANITOWOC, WI 542204630

    Phone: (920) 663-9008

    Fax: (920) 684-1439

    Type: Mailing

  • 7809 100TH ST

    PLEASANT PRAIRIE, WI 531582806

    Phone: (262) 345-2358

    Fax: (262) 912-0137

    Type: Location

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: 2025-08-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20180814001632IPathologyFLTBD
I20241028002581IPathologyOHTBD
I20250812000789IPathologyWITBD

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
88305Pathology examination of tissue using a microscope, intermediate complexity232143$0
88341Special stained specimen slides to examine tissue, each additional procedure17649$0
88189Flow cytometry technique for dna or cell analysis, 16 or more markers8581$0
88342Special stained specimen slides to examine tissue, initial procedure5756$0
88311Preparation of tissue for examination by removing any calcium present3836$0
View full utilization report →

Insurance plans in this area (ZIP 60153)

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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: 4789682493View full group profile
NameSpecialtyState
-OH
-MI
Hospitalist, Internal MedicineOH
-TX
-OH
Certified Registered Nurse Anesthetist (Crna)OH
-OH
O B S T E T R I C S/ G Y N E C O L O G YOH
-OH
-OH

Reviews

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Frequently asked questions

What is DR. REEBA ANNIE PRINCE (M.D.)'s NPI number?
DR. REEBA ANNIE PRINCE (M.D.)'s NPI is 1083903058 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to DR. REEBA ANNIE PRINCE (M.D.)?
You should see DR. REEBA ANNIE PRINCE (M.D.) as active in CMS-hosted NPPES data.
What area of care is associated with DR. REEBA ANNIE PRINCE (M.D.)?
DR. REEBA ANNIE PRINCE (M.D.)'s record emphasizes Dermatopathology Physician. Clinical services aligned with this taxonomy classification.
Is DR. REEBA ANNIE PRINCE (M.D.) located near Maywood?
DR. REEBA ANNIE PRINCE (M.D.) currently maps to Maywood, Illinois in this extract.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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