KEYOUMARS SOLTANI – Dermatology Physician, NPI 1134282643
Dermatology Physician
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for KEYOUMARS SOLTANI
5841 S MARYLAND AVE # MC1099
CHICAGO, IL 606371447
Phone:
Type: Mailing
Harvester Drive, Burr Ridge, DuPage County, Illinois, 65027, United States
BURR RIDGE, IL 605276686
Phone: (773) 834-4064
Type: Location
150 HARVESTER DR
SUITE 300
BURR RIDGE, IL 605275919
Phone:
Type: Mailing
5841 S MARYLAND AVE
CHICAGO, IL 606371443
Phone: (888) 824-0200
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: 2006-04-20
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 |
|---|---|---|---|---|
| I20060420000660 | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 91 | 18 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 51 | 42 | $0 |
| 88350 | Antibody evaluation, each additional single antibody stain procedure | 47 | 12 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 26 | 23 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 20 | 19 | $0 |
Insurance plans in this area (ZIP 60637)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DERMATOLOGY | IL | 17003 | Destruction of 2-14 skin growths | 471 | 80 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Endocrinology, Internal Medicine | IL | |
| N E U R O S U R G E R Y | IL | |
| Nurse Practitioner | IL | |
| - | IL | |
| Gastroenterology, Internal Medicine | CT | |
| Internal Medicine | IL | |
| Internal Medicine | IL | |
| - | IL | |
| Interventional Cardiology, Internal Medicine, Cardiovascular Disease (Cardiology) | IL | |
| - | CA |
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