DR. ABHISTA VALLABHANENI (M.D.) – Emergency Medicine Physician, NPI 1306102314

DR. ABHISTA VALLABHANENI (M.D.) is a healthcare provider. based in Chicago, Illinois. specializing in Emergency Medicine Physician. They hold the professional credentials M.D.. They hold a License No. 036137717 (MI). The NPI Number for DR. ABHISTA VALLABHANENI (M.D.) is 1306102314

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
DR. ABHISTA VALLABHANENI (M.D.)
NPI
1306102314
Phone
(773) 282-7000
Address
5645 W Addison St
Enumeration Date
3 April 2012
Last Update Date
17 March 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7735211710
Graduation Year
2015 (11 years ago)
PAC ID
6800102930
Group Practice PAC ID
7012281223
Professional Enrollment ID
I20150903000706
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

Provider Addresses for DR. ABHISTA VALLABHANENI (M.D.)

  • 5645 W Addison St

    Chicago, IL 606344403

    Phone: (773) 282-7000

    Type: Location

  • 5645 W ADDISON ST

    CHICAGO, IL 606344403

    Phone: (773) 282-7000

    Type: Mailing

  • 1740 W TAYLOR ST

    CHICAGO, IL 606127232

    Phone: (866) 600-2273

    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: 2015-09-03

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150903000706IEmergency MedicineILTBD

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
99285Emergency department visit with high level of medical decision making137135$0
99284Emergency department visit with moderate level of medical decision making6666$0
99283Emergency department visit with low level of medical decision making2423$0
View full utilization report →

Insurance plans in this area (ZIP 60634)

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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: 7012281223View full group profile

Reviews

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Frequently asked questions

What NPI should I save for DR. ABHISTA VALLABHANENI (M.D.)?
Save NPI 1306102314 if you need a stable reference for DR. ABHISTA VALLABHANENI (M.D.).
Is DR. ABHISTA VALLABHANENI (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is DR. ABHISTA VALLABHANENI (M.D.)?
The page reflects Emergency Medicine Physician for DR. ABHISTA VALLABHANENI (M.D.). Clinical services aligned with this taxonomy classification.
Does DR. ABHISTA VALLABHANENI (M.D.) practice in Illinois?
You will see Chicago, Illinois on file for DR. ABHISTA VALLABHANENI (M.D.) alongside any extra practice locations.
What if Chicago, Illinois seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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