NIMRA TANVIR (PA-C) – Physician Assistant, NPI 1114570355
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,035 PHYSICIAN ASSISTANT in IL
Provider Addresses for NIMRA TANVIR (PA-C)
1499 LAKEWOOD DR STE A
MORRIS, IL 604501791
Phone: (815) 941-5160
Type: Location
1499, Lakewood Drive, Morris, Grundy County, Illinois, 60450, United States
MORRIS, IL 604501709
Phone:
Type: Mailing
1733 N HARLEM AVE
CHICAGO, IL 607074305
Phone: (773) 237-6666
Fax: (773) 237-7350
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 172 Open Payments records for all available years, with a total value of $4,157.
Total Amount is formed as General ($4,157) + Research ($0) + Ownership ($0) = $4,157.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($723).
Total Amount
$4,157
General + Research + Ownership
Payments
172
Total payment records
General Amount
$4,157
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $723 |
| Lilly USA, LLC | $547 |
| Janssen Biotech, Inc. | $534 |
| Sun Pharmaceutical Industries Inc. | $344 |
| Dermavant Sciences, Inc. | $255 |
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: 2019-09-16
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 |
|---|---|---|---|---|
| I20190916000495 | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 103 | 69 | $0 |
| 17003 | Destruction of precancer skin growth, 2-14 growths | 91 | 19 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 48 | 44 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 32 | 28 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 31 | 28 | $0 |
Insurance plans in this area (ZIP 60450)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | KY | |
| Physician Assistant | IN | |
| Nurse Practitioner | KY | |
| D E R M A T O L O G Y | MI | |
| D E R M A T O L O G Y | IL | |
| D E R M A T O L O G Y | PA | |
| Physician Assistant | IL | |
| D E R M A T O L O G Y | PA |
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