THEODORE RODOLFO HARROLD – Physician Assistant, NPI 1093339061
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,035 PHYSICIAN ASSISTANT in IL
Provider Addresses for THEODORE RODOLFO HARROLD
880 W CENTRAL RD STE 7100
ARLINGTON HEIGHTS, IL 600052379
Phone: (224) 735-2937
Type: Location
671 S FAIRVIEW AVE
ELMHURST, IL 601264232
Phone:
Type: Mailing
671 S Fairview Ave
Elmhurst, IL 601264232
Phone: (630) 750-4828
Type: Location
2650 WARRENVILLE RD STE 280
DOWNERS GROVE, IL 605152075
Phone: (630) 324-7900
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $116.
Total Amount is formed as General ($116) + Research ($0) + Ownership ($0) = $116.
Last reported payment date: 2024-07-31 • Largest payer in this snapshot: Ethicon US, LLC ($36).
Total Amount
$116
General + Research + Ownership
Payments
4
Total payment records
General Amount
$116
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-31
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2021-06-09
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 |
|---|---|---|---|---|
| I20210609000890 | 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 |
|---|---|---|---|---|
| 33533 | Coronary artery bypass using artery graft, 1 graft | 38 | 38 | $0 |
| 33508 | Harvest of vein using an endoscope | 37 | 37 | $0 |
| 33518 | Coronary artery bypass using vein or artery graft, 2 grafts | 20 | 20 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 15 | 15 | $0 |
| 33517 | Coronary artery bypass using vein or artery graft, 1 graft | 11 | 11 | $0 |
Insurance plans in this area (ZIP 60005)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Thoracic Surgery | MD | |
| - | IL | |
| Nurse Practitioner | IN | |
| Nurse Practitioner | IL | |
| - | IL | |
| Physician Assistant | IN | |
| Physician Assistant | IN | |
| Physician Assistant | IL | |
| Physician Assistant | IL | |
| Nurse Practitioner | IN |
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