VIDYA SHIVAKUMAR (M.D.) – Dermatology Physician, NPI 1558636647
Dermatology Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
703 DERMATOLOGY in IL
Provider Addresses for VIDYA SHIVAKUMAR (M.D.)
1969 W OGDEN AVE
CHICAGO, IL 606123765
Phone:
Type: Mailing
839 W MADISON ST
CHICAGO, IL 606072631
Phone: (312) 455-3500
Fax: (312) 455-3502
Type: Mailing
1051 W RAND RD STE 210
ARLINGTON HEIGHTS, IL 600042315
Phone: (847) 618-9510
Fax: (847) 618-9506
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $2,134.
Total Amount is formed as General ($2,134) + Research ($0) + Ownership ($0) = $2,134.
Last reported payment date: 2024-10-01 • Largest payer in this snapshot: Janssen Biotech, Inc. ($2,045).
Total Amount
$2,134
General + Research + Ownership
Payments
5
Total payment records
General Amount
$2,134
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-01
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Biotech, Inc. | $2,045 |
| Lilly USA, LLC | $89 |
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: 2015-09-24
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 |
|---|---|---|---|---|
| I20150924002021 | I | Dermatology | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 363 | 77 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 337 | 289 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 132 | 112 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 132 | 116 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 118 | 107 | $0 |
Insurance plans in this area (ZIP 60612)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| General Surgery | IL | |
| Internal Medicine | IL | |
| Diagnostic Radiology | WI | |
| Internal Medicine | MI | |
| Hematology/Oncology, Hospice/Palliative Care | IL | |
| Nurse Practitioner | IL | |
| O B S T E T R I C S/ G Y N E C O L O G Y | OH | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| O T O L A R Y N G O L O G Y | CT |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.