DR. KOVILPARAMBIL XAVIER ANTONY (MD) – Psychiatry Physician, NPI 1376677138
Psychiatry Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. KOVILPARAMBIL XAVIER ANTONY (MD)
12028 S VAN BEVEREN DR
ALSIP, IL 608031700
Phone:
Type: Mailing
1100 W 6TH AVENUE
GARY, IN 46402
Phone: (219) 885-4264
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: 2024-03-04
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20140630001733 | I | Psychiatry | IA | TBD |
| I20140822001187 | I | Psychiatry | FL | TBD |
| I20240304002509 | I | Psychiatry | ND | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| Q3014 | Telehealth originating site facility fee | 108 | 48 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 77 | 34 | $0 |
Insurance plans in this area (ZIP 60803)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PSYCHIATRY | IN | 90792 | Psychiatric diagnostic evaluation with medical services | 20 | 20 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Mental Health Counselor | IA | |
| Mental Health Counselor | IA | |
| Clinical Social Worker | IA | |
| Nurse Practitioner | IA | |
| - | WI |
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