MOHAMED ADENWALLA (M.D.) – Ophthalmology Physician, NPI 1184679524

MOHAMED ADENWALLA (M.D.) is a healthcare provider. based in Oak brook, Illinois. specializing in OPHTHALMOLOGY. They hold the professional credentials M.D.. They hold a License No. 036.110825 (IL). The NPI Number for MOHAMED ADENWALLA (M.D.) is 1184679524

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
MOHAMED ADENWALLA (M.D.)
NPI
1184679524
Phone
(630) 571-1501
Address
2425 W 22nd St
Enumeration Date
24 May 2006
Last Update Date
7 December 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3125722000
Graduation Year
2001 (25 years ago)
PAC ID
0749293264
Group Practice PAC ID
2860398088
Professional Enrollment ID
I20060728000063
Address ID
IL606152494CH500XXSTXX400

Contacts

Secure Messaging
madenwalla@direct.ccprovider.org
Secure Messaging
madenwalla276296@direct.myadvocateaurora.org
FHIR Endpoint
https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness85
Years active:20State licenses:2Other namesUpdated within 12 months

958 OPHTHALMOLOGY in IL

Provider Addresses for MOHAMED ADENWALLA (M.D.)

  • 2425 W 22nd St

    Suite 207

    Oak Brook, IL 605231245

    Phone: (630) 571-1501

    Fax: (630) 571-5679

    Type: Location

  • 133 E BRUSH HILL RD STE 300

    ELMHURST, IL 601265659

    Phone: (630) 571-1501

    Fax: (630) 571-5679

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 32 Open Payments records for all available years, with a total value of $1,250.

Total Amount is formed as General ($1,250) + Research ($0) + Ownership ($0) = $1,250.

Last reported payment date: 2024-10-18 • Largest payer in this snapshot: ABBVIE INC. ($431).

Total Amount

$1,250

General + Research + Ownership

Payments

32

Total payment records

General Amount

$1,250

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-18

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2006-07-28

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20060728000063IOphthalmologyILTBD

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
J0178Injection, aflibercept, 1 mg2,770166$0
92134Imaging of retina2,202661$0
67028Injection of drug into eye1,482261$0
92014Established patient complete exam of visual system791493$0
J9035Injection, bevacizumab, 10 mg566114$0
View full utilization report →

Insurance plans in this area (ZIP 60523)

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Provider's Procedures

MOHAMED ADENWALLA (M.D.) performs procedures in OPHTHALMOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPHTHALMOLOGYIL92012Eye and medical examination for diagnosis and treatment, established patient800501

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: 2860398088View full group profile
NameSpecialtyState
O P H T H A L M O L O G YIL
Cardiac Electrophysiology, Cardiovascular Disease (Cardiology), Cardiovascular Disease (Cardiology)MA
-IL
-IL
O B S T E T R I C S/ G Y N E C O L O G YIL
-IL
-IL
-IL
A N E S T H E S I O L O G YIL
Physician AssistantIL

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Frequently asked questions

How do payers reference MOHAMED ADENWALLA (M.D.)?
For MOHAMED ADENWALLA (M.D.), use NPI 1184679524 as the unique 10-digit identifier.
Is there an active status for MOHAMED ADENWALLA (M.D.)?
For scheduling context, MOHAMED ADENWALLA (M.D.) is shown as active in the registry.
What area of care is associated with MOHAMED ADENWALLA (M.D.)?
MOHAMED ADENWALLA (M.D.)'s record emphasizes Ophthalmology Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with MOHAMED ADENWALLA (M.D.)?
Directory geography for MOHAMED ADENWALLA (M.D.) centers on Oak Brook, Illinois.
What does 3 location(s) imply?
3 practice locations appear in the available data.

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