KHIN SU MON (MD) – Anatomic Pathology & Clinical Pathology Physician, NPI 1568817625
Anatomic Pathology & Clinical Pathology Physician
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Profile Insights
NPPES metrics only — not quality of care.
767 PATHOLOGY in IL
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Provider Addresses for KHIN SU MON (MD)
2160 S 1ST AVE
MAYWOOD, IL 601533328
Phone: (708) 327-2689
Type: Mailing
2160, South 1st Avenue, Maywood, Proviso Township, Cook County, Illinois, 60153, United States
MAYWOOD, IL 601533328
Phone: (708) 327-2689
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $42.
Total Amount is formed as General ($42) + Research ($0) + Ownership ($0) = $42.
Last reported payment date: 2024-04-18 • Largest payer in this snapshot: Roche Diagnostics Corporation ($42).
Total Amount
$42
General + Research + Ownership
Payments
1
Total payment records
General Amount
$42
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Roche Diagnostics Corporation | $42 |
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: 2023-07-27
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 |
|---|---|---|---|---|
| I20230727003911 | I | Pathology | IN | 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 |
|---|---|---|---|---|
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 1,059 | 515 | $0 |
| 88341 | Special stained specimen slides to examine tissue, each additional procedure | 368 | 97 | $0 |
| 88342 | Special stained specimen slides to examine tissue, initial procedure | 165 | 141 | $0 |
| 88112 | Cell examination of specimen, selective cellular enhancement technique | 148 | 136 | $0 |
| 88307 | Pathology examination of tissue using a microscope, moderately high complexity | 121 | 64 | $0 |
Insurance plans in this area (ZIP 60153)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | FL | |
| P A T H O L O G Y | IN | |
| 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 | IN | |
| - | IN | |
| P A T H O L O G Y | IN | |
| P A T H O L O G Y | IN | |
| P A T H O L O G Y | OH |
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