KOUROUS A REZAEI (MD) – Retina Specialist (Ophthalmology) Physician, NPI 1366428070

KOUROUS A REZAEI (MD) is a healthcare provider. based in Harvey, Illinois. specializing in OPHTHALMOLOGY. They hold the professional credentials MD. They hold a License No. 036108868 (IL). The NPI Number for KOUROUS A REZAEI (MD) is 1366428070

Main info

Male
33 Years Of Experience
Accepts Medicare Assignment
Name
KOUROUS A REZAEI (MD)
NPI
1366428070
Phone
(708) 596-8710
Address
71 W 156TH ST
Enumeration Date
15 December 2005
Last Update Date
4 February 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2199229888
Graduation Year
1993 (33 years ago)
PAC ID
8325010580
Group Practice PAC ID
6709799810
Professional Enrollment ID
I20051221000467
Address ID
IN463214071MU10110DRXX501

Contacts

Secure Messaging
krezaei@illret.intellechartdirect.net
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience78
Completeness85
Years active:20State licenses:2Other namesUpdated within 12 months

958 OPHTHALMOLOGY in IL

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Provider Addresses for KOUROUS A REZAEI (MD)

  • 71, West 156th Street, Harvey, Thornton Township, Cook County, Illinois, 60426, United States

    STE 400

    HARVEY, IL 604264265

    Phone: (708) 596-8710

    Fax: (708) 596-9820

    Type: Mailing

  • 11516 183RD PL STE SW

    ORLAND PARK, IL 604679471

    Phone: (708) 877-1300

    Fax: (708) 596-8719

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 21 Open Payments records for all available years, with a total value of $32,118.

Total Amount is formed as General ($32,118) + Research ($0) + Ownership ($0) = $32,118.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Alcon Research LLC ($16,826).

Total Amount

$32,118

General + Research + Ownership

Payments

21

Total payment records

General Amount

$32,118

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

1

Ownership records

Last Payment Date

2024-12-16

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: 2005-12-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20040809000544IOphthalmologyILTBD
I20051221000467IOphthalmologyINTBD

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
J2777Injection, faricimab-svoa, 0.1 mg34,68099$0
92134Imaging of retina3,9031,484$0
92014Established patient complete exam of visual system1,8451,465$0
67028Injection of drug into eye1,644305$0
J0178Injection, aflibercept, 1 mg1,454161$0
View full utilization report →

Insurance plans in this area (ZIP 60426)

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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: 6709799810View 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 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 H T H A L M O L O G YIL
O P H T H A L M O L O G YMI
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
-IL
-IL

Reviews

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Frequently asked questions

What unique ID ties claims to KOUROUS A REZAEI (MD)?
NPI 1366428070 is assigned to KOUROUS A REZAEI (MD) under the national enumeration system.
Is KOUROUS A REZAEI (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is KOUROUS A REZAEI (MD)?
The page reflects Retina Specialist (Ophthalmology) Physician for KOUROUS A REZAEI (MD). Clinical services aligned with this taxonomy classification.
What location shows for KOUROUS A REZAEI (MD)?
We surface Harvey, Illinois for KOUROUS A REZAEI (MD) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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