DOUGLAS KOLTUN (MD) – Physical Medicine & Rehabilitation Physician, NPI 1326034828
Physical Medicine & Rehabilitation Physician
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for DOUGLAS KOLTUN (MD)
Advocate Children's Hospital - Oak Lawn, 4440, West 95th Street, Oak Lawn, Worth Township, Cook County, Illinois, 60453, United States
EMG LAB, ROOM 042 SOUTH
OAK LAWN, IL 604532600
Phone: (708) 684-5428
Fax: (708) 684-2079
Type: Location
777, Oakmont Lane, Westmont, DuPage County, Illinois, 60559, United States
SUITE 1600
WESTMONT, IL 605595511
Phone: (630) 789-2550
Type: Mailing
4400 W 95TH ST STE 306
OAK LAWN, IL 604532659
Phone: (708) 684-5428
Fax: (708) 684-2079
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: 2004-11-22
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 |
|---|---|---|---|---|
| I20041122000260 | I | Physical Medicine And Rehabilitation | 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 60453)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Medicine And Rehabilitation, Sports Medicine | IL |
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