DR. LARISSA KADAR GHADIALI (M.D.) – Ophthalmology Physician, NPI 1295029270

DR. LARISSA KADAR GHADIALI (M.D.) is a healthcare provider. based in Maywood, Illinois. specializing in OPHTHALMOLOGY. They hold the professional credentials M.D.. They hold a License No. 036144363 (IL). The NPI Number for DR. LARISSA KADAR GHADIALI (M.D.) is 1295029270

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
DR. LARISSA KADAR GHADIALI (M.D.)
NPI
1295029270
Phone
(708) 216-9000
Address
2160 S 1ST AVE
Enumeration Date
7 June 2011
Last Update Date
2 November 2017

Doctor Profile

Medical School Name
NEW YORK MEDICAL COLLEGE
Secondary Phone
6303255200
Graduation Year
2011 (15 years ago)
PAC ID
0840511465
Group Practice PAC ID
0345544557
Professional Enrollment ID
I20171130000661
Address ID
IL605214013HI126XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:15State licenses:1Digital endpointsOther names

958 OPHTHALMOLOGY in IL

Provider Addresses for DR. LARISSA KADAR GHADIALI (M.D.)

  • 2160 S 1ST AVE

    MAYWOOD, IL 601533328

    Phone: (708) 216-9000

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 16 Open Payments records for all available years, with a total value of $422.

Total Amount is formed as General ($422) + Research ($0) + Ownership ($0) = $422.

Last reported payment date: 2024-04-10 • Largest payer in this snapshot: Horizon Therapeutics plc ($336).

Total Amount

$422

General + Research + Ownership

Payments

16

Total payment records

General Amount

$422

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-10

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: 2017-11-30

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
I20171130000661IOphthalmologyILTBD

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
92012Established patient problem focused exam of visual system263156$0
92014Established patient complete exam of visual system223211$0
92083Exam of visual field with extended testing127101$0
92133Imaging of optic nerve105104$0
92285Photography of content of eyes9992$0
View full utilization report →

Insurance plans in this area (ZIP 60153)

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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: 0345544557View full group profile
NameSpecialtyState
O P H T H A L M O L O G YIL
O P H T H A L M O L O G YIL
O P T O M E T R YIL
-IL
O P H T H A L M O L O G YIL

Reviews

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Frequently asked questions

Can I verify DR. LARISSA KADAR GHADIALI (M.D.) with an NPI only?
You can start verification with NPI 1295029270 for DR. LARISSA KADAR GHADIALI (M.D.), then check state licensing separately.
Can I rely on DR. LARISSA KADAR GHADIALI (M.D.) being an active provider?
As of the registry snapshot, DR. LARISSA KADAR GHADIALI (M.D.) is marked active.
What is DR. LARISSA KADAR GHADIALI (M.D.) best known for clinically?
Directory data describes DR. LARISSA KADAR GHADIALI (M.D.) with Ophthalmology Physician. Clinical services aligned with this taxonomy classification.
What address line appears for DR. LARISSA KADAR GHADIALI (M.D.)?
DR. LARISSA KADAR GHADIALI (M.D.)'s geographic hint is Maywood, Illinois in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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