MANUEL S MESIROW (M.D.) – Specialist, NPI 1396711503

MANUEL S MESIROW (M.D.) is a healthcare provider. based in Tinley park, Illinois. specializing in DERMATOLOGY. They hold the professional credentials M.D.. They hold a License No. 036054932 (IL). The NPI Number for MANUEL S MESIROW (M.D.) is 1396711503

Main info

Male
50 Years Of Experience
Accepts Medicare Assignment
Name
MANUEL S MESIROW (M.D.)
NPI
1396711503
Phone
(708) 444-8300
Address
18425 W WEST CREEK DR
Enumeration Date
27 February 2006
Last Update Date
7 December 2021

Doctor Profile

Medical School Name
UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Secondary Phone
7084448300
Graduation Year
1976 (50 years ago)
PAC ID
5496652570
Group Practice PAC ID
8628027273
Professional Enrollment ID
I20031217000291
Address ID
IL604776768TI18425DRXX402

Contacts

FHIR Endpoint
mmesirow284129@direct.myadvocateaurora.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

703 DERMATOLOGY in IL

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Provider Addresses for MANUEL S MESIROW (M.D.)

  • West Creek Drive & 183rd Street, West Creek Drive, Tinley Park, Will County, Illinois, 60477, United States

    STE F

    TINLEY PARK, IL 604776767

    Phone: (708) 444-8300

    Fax: (708) 444-8301

    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)

CMS reports 61 Open Payments records for all available years, with a total value of $1,514.

Total Amount is formed as General ($1,514) + Research ($0) + Ownership ($0) = $1,514.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: ABBVIE INC. ($396).

Total Amount

$1,514

General + Research + Ownership

Payments

61

Total payment records

General Amount

$1,514

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

Latest reported date

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: 2003-12-17

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
I20031217000291IDermatologyILTBD

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
17003Destruction of precancer skin growth, 2-14 growths1,039172$0
99213Established patient office or other outpatient visit, 20-29 minutes586440$0
17000Destruction of precancer skin growth, 1 growth303237$0
17110Destruction of skin growth, 1-14 growths234202$0
99214Established patient office or other outpatient visit, 30-39 minutes150119$0
View full utilization report →

Insurance plans in this area (ZIP 60477)

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Provider's Procedures

MANUEL S MESIROW (M.D.) performs procedures in DERMATOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DERMATOLOGYIL17003Destruction of 2-14 skin growths2450372

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: 8628027273View full group profile
NameSpecialtyState
D E R M A T O L O G YIL
Physician AssistantIL
P A T H O L O G YIL
Physician AssistantIL
Physician AssistantIL
D E R M A T O L O G YIL
Physician AssistantIL
D E R M A T O L O G YIL
Physician AssistantIN
Physician AssistantIL

Reviews

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Frequently asked questions

How is MANUEL S MESIROW (M.D.) identified in CMS data?
CMS-hosted NPPES data lists MANUEL S MESIROW (M.D.) with NPI 1396711503.
Does the file indicate MANUEL S MESIROW (M.D.) is practicing under active NPI?
Directory data currently reports MANUEL S MESIROW (M.D.) as active.
What taxonomy line describes MANUEL S MESIROW (M.D.)?
For research purposes, treat MANUEL S MESIROW (M.D.) as Other Service Providers in this dataset. Clinical services aligned with this taxonomy classification.
Does MANUEL S MESIROW (M.D.) list a practice location?
Patients near Tinley Park, Illinois may find MANUEL S MESIROW (M.D.) in results; validate coverage separately.
Is the information about MANUEL S MESIROW (M.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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