RANA TABASSUM (M.D.) – Intellectual Disabilities Intermediate Care Facility, NPI 1154619849
Intellectual Disabilities Intermediate Care Facility
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
7,218 INTERNAL MEDICINE in MI
Provider Addresses for RANA TABASSUM (M.D.)
1125 MEADOW CREEK CT
VERNON HILLS, IL 600612562
Phone: (248) 952-1440
Type: Mailing
6071 W OUTER DR
DETROIT, MI 482352624
Phone: (313) 966-3250
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: 2013-10-28
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 |
|---|---|---|---|---|
| I20131028001418 | I | Internal Medicine | WI | 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 |
|---|---|---|---|---|
| 99307 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes | 198 | 70 | $0 |
| G0008 | Administration of influenza virus vaccine | 57 | 54 | $0 |
| G0009 | Administration of pneumococcal vaccine | 51 | 49 | $0 |
| 90662 | Influenza vaccine split virus, preservative free | 28 | 28 | $0 |
| 90674 | Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free | 28 | 25 | $0 |
Insurance plans in this area (ZIP 60061)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | WI | |
| Family Practice | WI | |
| - | WI | |
| - | WI | |
| Physical Medicine And Rehabilitation | WI | |
| Family Practice | WI | |
| - | WI | |
| - | UT | |
| Family Practice | WI | |
| - | WI |
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