DR. VLADIMIR VIDANOVIC (M.D.) – Blood Banking & Transfusion Medicine Physician, NPI 1366459562
Blood Banking & Transfusion Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. VLADIMIR VIDANOVIC (M.D.)
300 Randall Rd # Ll
Geneva, IL 601344200
Phone: (630) 208-4201
Fax: (630) 208-3489
Type: Location
University of Illinois at Chicago Hospital (UICH), 1740, West Taylor Street, Near West Side, Illinois Medical District, Chicago, Illinois Medical District, Illinois, 60612, United States
DEPT 3446
CHICAGO, IL 606127232
Phone: (312) 704-2885
Fax: (312) 704-2737
Type: Location
200, West Adams Street, Financial District, Loop, Chicago, South Chicago Township, Cook County, Illinois, 60606, United States
SUITE 225
CHICAGO, IL 606065212
Phone: (312) 704-2885
Fax: (312) 704-2737
Type: Mailing
2160 S 1ST AVE # EMS2280
MAYWOOD, IL 601533328
Phone: (708) 327-2689
Fax: (312) 704-2737
Type: Location
200 W ADAMS ST STE 225
CHICAGO, IL 606065212
Phone: (312) 704-2885
Fax: (312) 704-2737
Type: Mailing
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: 2006-08-29
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 |
|---|---|---|---|---|
| I20060829000016 | I | Pathology | 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 60134)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | IL | |
| O B S T E T R I C S/ G Y N E C O L O G Y | IL | |
| - | IL | |
| - | IL | |
| Gastroenterology, Internal Medicine | WI | |
| - | IL | |
| O P H T H A L M O L O G Y | NY | |
| O T O L A R Y N G O L O G Y | CA | |
| Certified Registered Nurse Anesthetist (Crna) | IA | |
| G A S T R O E N T E R O L O G Y | FL |
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