DR. MANDAR A PATTEKAR (M.D.) – Diagnostic Radiology Physician, NPI 1194775858
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. MANDAR A PATTEKAR (M.D.)
AECOM, 411, Hamilton Boulevard, Central Business District, Peoria, Peoria County, Illinois, 61602, United States
SUITE 1824
PEORIA, IL 616021144
Phone: (309) 494-9320
Fax: (309) 494-9321
Type: Mailing
5200 RELIABLE PARKWAY
CHICAGO, IL 606860001
Phone: (309) 671-8748
Fax: (309) 671-8740
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: 2007-04-03
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 |
|---|---|---|---|---|
| I20070403000376 | I | Diagnostic Radiology | 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 61602)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | IL | 73562 | X-ray of knee, 3 views | 37 | 36 |
| DIAGNOSTIC RADIOLOGY | IL | 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 52 | 52 |
| DIAGNOSTIC RADIOLOGY | IL | 78815 | Nuclear medicine study with CT imaging skull base to mid-thigh | 32 | 32 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nuclear Medicine | MO | |
| - | IL | |
| Diagnostic Radiology | IL | |
| Diagnostic Radiology | ID | |
| Diagnostic Radiology | OH | |
| Diagnostic Radiology | IL | |
| Diagnostic Radiology | WI | |
| Diagnostic Radiology | IL | |
| Diagnostic Radiology | IL | |
| Diagnostic Radiology, Interventional Radiology, Interventional Radiology | MN |
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