RAHMANA AZIZ SMITH (AGACNP-BC, NP) – Gerontology Nurse Practitioner, NPI 1346824620
Gerontology Nurse Practitioner
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
11,632 NURSE PRACTITIONER in IL
Provider Addresses for RAHMANA AZIZ SMITH (AGACNP-BC, NP)
5841 S Maryland Ave
Chicago, IL 606371443
Phone: (773) 702-1000
Type: Location
9340 S MANISTEE AVE
CHICAGO, IL 606174126
Phone: (773) 480-7110
Type: Mailing
1645 S RIVER ROAD INC
DES PLAINES, IL 600191443
Phone: (224) 803-2273
Fax: (224) 803-2274
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $278.
Total Amount is formed as General ($278) + Research ($0) + Ownership ($0) = $278.
Last reported payment date: 2024-11-20 • Largest payer in this snapshot: Ambu A/S ($250).
Total Amount
$278
General + Research + Ownership
Payments
2
Total payment records
General Amount
$278
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Ambu A/S | $250 |
| Biosense Webster, Inc. | $28 |
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: 2021-07-30
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210730002745 | I | Nurse Practitioner | 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 60637)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | IL | |
| Hospitalist, Internal Medicine | IL | |
| - | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | MO | |
| - | IL | |
| Internal Medicine | RI | |
| Hospitalist, Internal Medicine | IN | |
| Nurse Practitioner | MI | |
| Hospitalist, Internal Medicine | IL |
Reviews
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