VICKIE K REZAI – Anatomic Pathology & Clinical Pathology Physician, NPI 1386740587
Anatomic Pathology & Clinical Pathology Physician
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for VICKIE K REZAI
520, East 22nd Street, Highland Hills, Lombard, DuPage County, Illinois, 60148, United States
LOMBARD, IL 601486110
Phone: (630) 960-9222
Type: Mailing
Community First Medical Center, 5645, West Addison Street, Martin Luther, Portage Park, Chicago, Jefferson Township, Cook County, Illinois, 60634, United States
CHICAGO, IL 606344403
Phone: (773) 282-7000
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: 2010-03-30
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 |
|---|---|---|---|---|
| I20100330001302 | 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 60148)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PATHOLOGY | IL | 88304 | Pathology examination of tissue using a microscope, moderately low complexity | 17 | 15 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| P A T H O L O G Y | IL | |
| P A T H O L O G Y | IL | |
| P A T H O L O G Y | IL | |
| - | IL | |
| P A T H O L O G Y | CA | |
| P A T H O L O G Y | IL | |
| P A T H O L O G Y | IL | |
| P A T H O L O G Y | IL | |
| P A T H O L O G Y | IL | |
| - | IL |
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