HOMER DIADULA (M.D.) – Internal Medicine Physician, NPI 1134105232

HOMER DIADULA (M.D.) is a healthcare provider. based in Burr ridge, Illinois. specializing in Internal Medicine Physician. They hold the professional credentials M.D.. They hold a License No. 036082531 (IL). The NPI Number for HOMER DIADULA (M.D.) is 1134105232

Main info

Male
46 Years Of Experience
Accepts Medicare Assignment
Name
HOMER DIADULA (M.D.)
NPI
1134105232
Phone
(773) 237-3354
Address
157 TOMLIN CIR
Enumeration Date
20 December 2005
Last Update Date
29 September 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7084302295
Graduation Year
1980 (46 years ago)
PAC ID
4385605096
Group Practice PAC ID
6002040276
Professional Enrollment ID
I20041025001029
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for HOMER DIADULA (M.D.)

  • 157, Tomlin Circle, Burr Ridge, Lyons Township, Cook County, Illinois, 60527, United States

    BURR RIDGE, IL 605274886

    Phone: (773) 237-3354

    Fax: (630) 850-7306

    Mailing address matches the actual address.

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: 2004-10-25

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20041025001029IInternal MedicineILTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60527)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6002040276View full group profile
NameSpecialtyState
Physician AssistantIL
O B S T E T R I C S/ G Y N E C O L O G YIL
Internal MedicineIL
Family Practice, General Surgery, Preventive MedicineIL
-MI
Physician AssistantUT
Internal MedicineME
General Surgery, Vascular SurgeryKY
Family PracticeIL
Physician AssistantOH

Reviews

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Frequently asked questions

How do payers reference HOMER DIADULA (M.D.)?
For HOMER DIADULA (M.D.), use NPI 1134105232 as the unique 10-digit identifier.
Active or inactive — what applies to HOMER DIADULA (M.D.)?
You should see HOMER DIADULA (M.D.) as active in CMS-hosted NPPES data.
What expertise is attributed to HOMER DIADULA (M.D.)?
HOMER DIADULA (M.D.)'s specialty line reads Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with HOMER DIADULA (M.D.)?
Directory geography for HOMER DIADULA (M.D.) centers on Burr Ridge, Illinois.
Does HOMER DIADULA (M.D.) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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