DR. KRISTINA GVOZDJAN (M.D.) – Anatomic Pathology Physician, NPI 1184966939
Anatomic Pathology Physician
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NPPES metrics only — not quality of care.
766 PATHOLOGY in IL
Provider Addresses for DR. KRISTINA GVOZDJAN (M.D.)
2160 S 1ST AVE
MAYWOOD, IL 601533328
Phone: (708) 216-9000
Type: Location
10S641 S GARFIELD AVE
BURR RIDGE, IL 605276317
Phone:
Type: Mailing
2160 S 1st Ave
Maywood, IL 601533328
Phone: (708) 216-9000
Type: Location
840 S Wood St
Chicago, IL 606124325
Phone: (312) 996-7312
Type: Location
611 W PARK ST
URBANA, IL 618012501
Phone:
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: 2019-08-15
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 |
|---|---|---|---|---|
| I20190815000241 | I | Pathology | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 60153)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | NY | |
| Vascular Surgery, General Surgery | IL | |
| Physician Assistant | IL | |
| - | IL | |
| - | IL | |
| Hospice/Palliative Care, Internal Medicine | IL | |
| Cardiovascular Disease (Cardiology) | IL | |
| E N D O C R I N O L O G Y | IL | |
| Diagnostic Radiology | IL | |
| Nurse Practitioner | IL |
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