DR. NISHA B JANI-KONDURI (O.D.) – Optometrist, NPI 1538152558

DR. NISHA B JANI-KONDURI (O.D.) is a healthcare provider. based in Calumet city, Illinois. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 046008796 (IL). The NPI Number for DR. NISHA B JANI-KONDURI (O.D.) is 1538152558

Main info

Female
32 Years Of Experience
Accepts Medicare Assignment
Name
DR. NISHA B JANI-KONDURI (O.D.)
NPI
1538152558
Phone
(708) 891-3330
Address
1700 E WEST RD
Enumeration Date
24 August 2005
Last Update Date
14 May 2024

Doctor Profile

Medical School Name
INDIANA UNIVERSITY - SCHOOL OF OPTOMETRY
Secondary Phone
8478957222
Graduation Year
1994 (32 years ago)
PAC ID
0345340600
Group Practice PAC ID
3577869965
Professional Enrollment ID
I20070716000474
Address ID
IL600073214EL1114XAVEX400
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

1,715 OPTOMETRY in IL

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Provider Addresses for DR. NISHA B JANI-KONDURI (O.D.)

  • East West Road, River Oaks West Mall, Calumet City, Thornton Township, Cook County, Illinois, 60409, United States

    CALUMET CITY, IL 604095415

    Phone: (708) 891-3330

    Fax: (708) 891-0904

    Type: Mailing

  • 8614 WESTWOOD CENTER DR FL 9

    VIENNA, VA 221822442

    Phone: (703) 847-8899

    Type: Mailing

  • 1114 W DEVON AVE

    ELK GROVE VILLAGE, IL 600073214

    Phone: (847) 895-7222

    Fax: (847) 895-0861

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $361.

Total Amount is formed as General ($361) + Research ($0) + Ownership ($0) = $361.

Last reported payment date: 2024-11-20 • Largest payer in this snapshot: Alcon Vision LLC ($147).

Total Amount

$361

General + Research + Ownership

Payments

5

Total payment records

General Amount

$361

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-20

Latest reported date

Top Companies

Largest payers in this snapshot

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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: 2007-07-16

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
I20070716000474IOptometryILTBD

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 60409)

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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: 3577869965View full group profile

Reviews

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Frequently asked questions

What identifier follows DR. NISHA B JANI-KONDURI (O.D.) across health systems?
The NPI 1538152558 uniquely identifies DR. NISHA B JANI-KONDURI (O.D.) in U.S. healthcare data.
Is DR. NISHA B JANI-KONDURI (O.D.) currently accepting referrals based on NPI status?
Registry metadata lists DR. NISHA B JANI-KONDURI (O.D.) as active.
What type of care does DR. NISHA B JANI-KONDURI (O.D.) provide?
DR. NISHA B JANI-KONDURI (O.D.)'s profile centers on Optometrist. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. NISHA B JANI-KONDURI (O.D.)?
DR. NISHA B JANI-KONDURI (O.D.) shows a connection to Calumet City, Illinois in registry-derived data.
Who maintains DR. NISHA B JANI-KONDURI (O.D.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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