NICOLE R MOTT (DO) – Emergency Medicine Physician, NPI 1093732034
Emergency Medicine Physician
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NPPES metrics only — not quality of care.
2,845 EMERGENCY MEDICINE in IL
Provider Addresses for NICOLE R MOTT (DO)
1754 W WELLINGTON AVE APT 1W
CHICAGO, IL 606574045
Phone: (630) 649-8253
Type: Mailing
885 Roosevelt Rd Ste 100
Glen Ellyn, IL 60137
Phone: (630) 384-6200
Fax: (630) 384-6229
Type: Location
1860 PAYSPHERE CIR
CHICAGO, IL 606740018
Phone: (630) 469-9200
Type: Mailing
17495 LA GRANGE RD
TINLEY PARK, IL 604877581
Phone: (708) 364-3163
Fax: (708) 226-1969
Type: Location
885 ROOSEVELT RD STE 100
GLEN ELLYN, IL 601376141
Phone: (630) 384-6200
Fax: (630) 384-6229
Type: Mailing
OSF Center for Health - Streator, 111, Spring Street, Streator, LaSalle County, Illinois, 61364, United States
STREATOR, IL 613643332
Phone: (815) 673-4521
Fax: (815) 673-4616
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: 2005-12-14
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 |
|---|---|---|---|---|
| I20051214000553 | I | Emergency Medicine | 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 |
|---|---|---|---|---|
| 36415 | Insertion of needle into vein for collection of blood sample | 291 | 283 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 123 | 123 | $0 |
| 71046 | X-ray of chest, 2 views | 44 | 44 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 40 | 39 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 34 | 34 | $0 |
Insurance plans in this area (ZIP 60657)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IL | |
| Diagnostic Radiology, Interventional Radiology | IL | |
| P A T H O L O G Y | IL | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal Medicine | IL | |
| G A S T R O E N T E R O L O G Y | IL | |
| Internal Medicine | IL | |
| Cardiac Electrophysiology, Cardiovascular Disease (Cardiology), Internal Medicine | MN | |
| - | IL | |
| Physical Therapist In Private Practice | IL | |
| Nurse Practitioner | IL |
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