DOMINIC LULLO (MD) – Surgery Physician, NPI 1598227415
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,423 GENERAL SURGERY in IL
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Provider Addresses for DOMINIC LULLO (MD)
50 S GREELEY ST APT 212
PALATINE, IL 600676130
Phone: (847) 338-3580
Type: Mailing
Presence Saint Joseph Hospital, 2900, North Lake Shore Drive, Lake View, Chicago, Lake View Township, Cook County, Illinois, 60657, United States
CHICAGO, IL 606575640
Phone: (773) 665-6237
Type: Location
2945 S DOBSON RD
MESA, AZ 852027941
Phone: (480) 969-4138
Fax: (480) 969-0630
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 $148.
Total Amount is formed as General ($148) + Research ($0) + Ownership ($0) = $148.
Last reported payment date: 2024-02-23 • Largest payer in this snapshot: Bard Peripheral Vascular, Inc. ($148).
Total Amount
$148
General + Research + Ownership
Payments
1
Total payment records
General Amount
$148
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-02-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Bard Peripheral Vascular, Inc. | $148 |
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: 2025-09-23
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 |
|---|---|---|---|---|
| I20250923001429 | I | General Surgery | AZ | 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 60067)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | AZ | |
| General Surgery | AZ | |
| General Surgery, Vascular Surgery | AZ | |
| Colorectal Surgery (Proctology), General Surgery | AZ | |
| Nurse Practitioner | AZ | |
| Physician Assistant | AZ | |
| General Surgery | AZ | |
| Vascular Surgery, General Surgery | AZ | |
| Plastic And Reconstructive Surgery | AZ | |
| General Surgery | AZ |
Reviews
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