CONG RAN – Plastic Surgery within the Head & Neck (Otolaryngology) Physician, NPI 1194110700
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
488 OTOLARYNGOLOGY in IL
Provider Addresses for CONG RAN
675 N SAINT CLAIR ST
GALTER PAVILION, 15TH FLOOR, ROOM 200
CHICAGO, IL 606115975
Phone: (312) 695-8182
Type: Mailing
PO BOX 7001
TARZANA, CA 913577001
Phone: (818) 888-7815
Fax: (818) 715-1722
Type: Mailing
1317 5TH ST STE 300
SANTA MONICA, CA 904011433
Phone: (310) 434-0044
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 10 Open Payments records for all available years, with a total value of $529.
Total Amount is formed as General ($529) + Research ($0) + Ownership ($0) = $529.
Last reported payment date: 2024-09-16 • Largest payer in this snapshot: Stryker Corporation ($223).
Total Amount
$529
General + Research + Ownership
Payments
10
Total payment records
General Amount
$529
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Stryker Corporation | $223 |
| Acclarent, Inc | $133 |
| REVANCE THERAPEUTICS, INC. | $117 |
| ABBVIE INC. | $28 |
| Galderma Laboratories, L.P. | $27 |
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: 2021-05-10
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 |
|---|---|---|---|---|
| I20210510001608 | I | Otolaryngology | CA | 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 60611)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O T O L A R Y N G O L O G Y | CA | |
| Physician Assistant | CA | |
| O T O L A R Y N G O L O G Y | GA | |
| O T O L A R Y N G O L O G Y | CA | |
| Physician Assistant | CA | |
| O T O L A R Y N G O L O G Y | CA | |
| O T O L A R Y N G O L O G Y | CA | |
| Sleep Medicine, Family Practice | CA | |
| O T O L A R Y N G O L O G Y | PA | |
| O T O L A R Y N G O L O G Y | CA |
Reviews
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