LUBOMYRA M KAZANIWSKYJ (DO) – Family Medicine Physician, NPI 1376520296

LUBOMYRA M KAZANIWSKYJ (DO) is a healthcare provider. based in Lemont, Illinois. specializing in Family Medicine Physician. They hold the professional credentials DO. They hold a License No. 036069175 (IL). The NPI Number for LUBOMYRA M KAZANIWSKYJ (DO) is 1376520296

Main info

Female
43 Years Of Experience
Accepts Medicare Assignment
Name
LUBOMYRA M KAZANIWSKYJ (DO)
NPI
1376520296
Phone
(630) 257-5400
Address
15505 E 127TH ST STE 100
Enumeration Date
30 December 2005
Last Update Date
21 July 2020

Doctor Profile

Medical School Name
MIDWESTERN UNIVERSITY, CHICAGO COLLEGE OF OSTEOPATHIC MED
Secondary Phone
6302438888
Graduation Year
1983 (43 years ago)
PAC ID
3476600560
Group Practice PAC ID
2264408699
Professional Enrollment ID
I20090407000143
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for LUBOMYRA M KAZANIWSKYJ (DO)

  • East 127th Street, Lemont, Lemont Township, Cook County, Illinois, 60439, United States

    LEMONT, IL 604394433

    Phone: (630) 257-5400

    Mailing address matches the actual address.

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: 2009-04-07

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
I20090407000143IFamily PracticeILTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60439)

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Provider's Procedures

LUBOMYRA M KAZANIWSKYJ (DO) performs procedures in Family Medicine Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEIL83036Hemoglobin A1C level3229
FAMILY MEDICINEIL90670Pneumococcal vaccine for injection into muscle5555

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: 2264408699View full group profile
NameSpecialtyState
Internal MedicineIL
Internal MedicineIL
Internal MedicineIL
Pediatric Medicine, Internal MedicineIL
Family PracticeIL
-IL
Internal MedicineIL
Internal MedicineIL
Internal MedicineIL
Family PracticeIL

Reviews

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Frequently asked questions

Where can patients find LUBOMYRA M KAZANIWSKYJ (DO)'s NPI?
You can confirm LUBOMYRA M KAZANIWSKYJ (DO) with NPI 1376520296; it appears in the national provider directory.
Is LUBOMYRA M KAZANIWSKYJ (DO) active in the national directory?
LUBOMYRA M KAZANIWSKYJ (DO)'s public NPI profile is in an active state.
What kind of provider is LUBOMYRA M KAZANIWSKYJ (DO)?
The page reflects Family Medicine Physician for LUBOMYRA M KAZANIWSKYJ (DO). Clinical services aligned with this taxonomy classification.
What location shows for LUBOMYRA M KAZANIWSKYJ (DO)?
We surface Lemont, Illinois for LUBOMYRA M KAZANIWSKYJ (DO) based on available NPPES addresses.
Is LUBOMYRA M KAZANIWSKYJ (DO) a real provider?
This page reflects official NPPES data for NPI 1376520296. Always confirm identity and privileges with the practice and licensing boards.

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