DR. MAZEN DIAB (M.D.) – Nephrology Physician, NPI 1134436819

DR. MAZEN DIAB (M.D.) is a healthcare provider. based in Tinley park, Illinois. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. MT198421 (PA). The NPI Number for DR. MAZEN DIAB (M.D.) is 1134436819

Main info

Male
22 Years Of Experience
Accepts Medicare Assignment
Name
DR. MAZEN DIAB (M.D.)
NPI
1134436819
Phone
(630) 873-8875
Address
17495 LA GRANGE RD
Enumeration Date
2 September 2010
Last Update Date
30 March 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7082514190
Graduation Year
2004 (22 years ago)
PAC ID
3678873114
Group Practice PAC ID
3577595545
Professional Enrollment ID
I20160222002768
Address ID
IL606205936CH8058XAVEX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:15State licenses:3Digital endpointsOther names

8,824 INTERNAL MEDICINE in IL

Provider Addresses for DR. MAZEN DIAB (M.D.)

  • 17495 LA GRANGE RD

    TINLEY PARK, IL 604877581

    Phone: (630) 873-8875

    Type: Location

  • 1860 PAYSHERE CIR

    CHICAGO, IL 606744325

    Phone: (630) 469-9200

    Type: Mailing

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: 2016-02-22

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
I20160222002768IInternal 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes1,296322$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes358135$0
90935Hemodialysis procedure with physician evaluation30092$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes299256$0
99291Critical care, first 30-74 minutes17283$0
View full utilization report →

Insurance plans in this area (ZIP 60487)

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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: 3577595545View full group profile
NameSpecialtyState
N E P H R O L O G YIL
N E P H R O L O G YIL
Nephrology, Internal Medicine, HospitalistIL
Nephrology, Internal MedicineIL
Internal Medicine, NephrologyIL

Reviews

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Frequently asked questions

Is there an official ID for DR. MAZEN DIAB (M.D.) in U.S. healthcare records?
The official identifier for DR. MAZEN DIAB (M.D.) is NPI 1134436819.
Would DR. MAZEN DIAB (M.D.) appear as active to a payer?
You can treat DR. MAZEN DIAB (M.D.) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for DR. MAZEN DIAB (M.D.)?
At a glance, DR. MAZEN DIAB (M.D.) is tied to Nephrology Physician. Clinical services aligned with this taxonomy classification.
Is DR. MAZEN DIAB (M.D.) associated with Tinley Park?
Public fields place DR. MAZEN DIAB (M.D.) around Tinley Park, Illinois. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for DR. MAZEN DIAB (M.D.) is noted as September 2, 2010 where the registry provides it.

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