DR. JIMMY VIET NINH (M.D.) – Neurology Physician, NPI 1104088939
Neurology Physician
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NPPES metrics only — not quality of care.
528 NEUROLOGY in IN
Provider Addresses for DR. JIMMY VIET NINH (M.D.)
PO BOX 19248
SPRINGFIELD, IL 627949248
Phone: (217) 528-7541
Type: Mailing
3700 Washington Ave
Evansville, IN 477140541
Phone: (812) 485-7040
Type: Location
800 E CARPENTER ST
SPRINGFIELD, IL 627697884
Phone: (217) 528-7541
Type: Location
421 N 9th St
Springfield, IL 627025317
Phone: (217) 757-6868
Fax: (217) 757-6867
Type: Location
1000 Johnson Ferry Rd
Atlanta, GA 303421606
Phone: (404) 851-8000
Fax: (404) 303-3759
Type: Location
611 E Douglas Rd Ste 305
Mishawaka, IN 465451467
Phone: (574) 335-6450
Type: Location
10400 75th St
Kenosha, WI 531427884
Phone: (262) 948-7815
Type: Location
Marseilles Street, CENTENNIAL CROSSING, Vernon Hills, Illinois, 60061, United States
VERNON HILLS, IL 600614148
Phone: (815) 935-0750
Fax: (815) 935-8797
Type: Mailing
North Wall Street, Kankakee, Kankakee County, Illinois, 60901, United States
KANKAKEE, IL 609013483
Phone: (815) 935-0750
Fax: (815) 935-8797
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.
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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: 2020-10-06
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 6 Medicare enrollment records; no due dates published yet.
Enrollment records
6
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 |
|---|---|---|---|---|
| I20091021000239 | I | Neurology | TX | TBD |
| I20101126000008 | I | Neurology | WA | TBD |
| I20110204000220 | I | Neurology | IL | TBD |
| I20171127002601 | I | Neurology | WI | TBD |
| I20200813003520 | I | Neurology | IN | TBD |
| I20201006001974 | I | Neurology | GA | 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 |
|---|---|---|---|---|
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 128 | 123 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 115 | 73 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 54 | 44 | $0 |
| 95819 | Measurement of brain wave activity (eeg), awake and asleep | 20 | 19 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 19 | 19 | $0 |
Insurance plans in this area (ZIP 62794)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IL | |
| - | IL | |
| - | IL | |
| Internal Medicine | IL | |
| - | IL | |
| - | IL | |
| - | IL | |
| Diagnostic Radiology | MO | |
| O B S T E T R I C S/ G Y N E C O L O G Y | IL | |
| - | IL |
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