DR. ALLY-KHAN B SOMANI (M.D., PH.D.) – Dermatology Physician, NPI 1104037886
Dermatology Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
45 MICROGRAPHIC DERMATOLOGIC SURGERY (MDS) in IL
Provider Addresses for DR. ALLY-KHAN B SOMANI (M.D., PH.D.)
16105 S LA GRANGE RD
ORLAND PARK, IL 604675503
Phone: (708) 636-3767
Fax: (708) 873-5849
Type: Location
North Shadeland Avenue, Castleton, Vertland, Indianapolis, Indiana, 46250, United States
STE 130 PROVIDER ENROLLMENT
INDIANAPOLIS, IN 462194959
Phone:
Type: Mailing
IU Health University Hospital, 550, University Boulevard, Historic Ransom Place, Indianapolis, Marion, Indiana, 46202, United States
SUITE 3240
INDIANAPOLIS, IN 462025149
Phone: (317) 944-7744
Fax: (317) 944-7051
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 38 Open Payments records for all available years, with a total value of $12,255.
Total Amount is formed as General ($12,255) + Research ($0) + Ownership ($0) = $12,255.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Cook Biotech Incorporated ($11,120).
Total Amount
$12,255
General + Research + Ownership
Payments
38
Total payment records
General Amount
$12,255
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
| Company | Amount |
|---|---|
| Cook Biotech Incorporated | $11,120 |
| Regeneron Healthcare Solutions, Inc. | $316 |
| GENZYME CORPORATION | $146 |
| Organogenesis Inc. | $102 |
| ABBVIE INC. | $84 |
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: 2023-04-19
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20090716000068 | I | Dermatology | IN | TBD |
| I20230419001536 | I | Dermatology | 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 |
|---|---|---|---|---|
| 17311 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks | 190 | 162 | $0 |
| 17312 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks | 112 | 84 | $0 |
| 13132 | Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm | 56 | 55 | $0 |
| 13121 | Complicated repair of wound of scalp, arms, or legs, 2.6-7.5 cm | 36 | 34 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 18 | 18 | $0 |
Insurance plans in this area (ZIP 60467)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IL | |
| Physician Assistant | IL | |
| P A T H O L O G Y | IL | |
| Physician Assistant | IL | |
| - | CO | |
| Physician Assistant | IL | |
| D E R M A T O L O G Y | IL | |
| Physician Assistant | IL | |
| Nurse Practitioner | IL |
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