TOMISLAV LAKIC (MD) – Emergency Medicine Physician, NPI 1629057872
Emergency Medicine Physician
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
2,861 FAMILY PRACTICE in IN
Provider Addresses for TOMISLAV LAKIC (MD)
10751, West 143rd Street, Orland Park, Orland Township, Cook County, Illinois, 60462, United States
ORLAND PARK, IL 604621900
Phone: (630) 230-0979
Type: Mailing
1331 State St
La Porte, IN 463503112
Phone: (219) 326-1234
Type: Location
1700 W Stout St
Rice Lake, WI 548685000
Phone: (715) 236-6291
Type: Location
101 S MAJOR ST
EUREKA, IL 615301246
Phone: (309) 304-2100
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2016-02-24
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
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 |
|---|---|---|---|---|
| I20040513000497 | I | Emergency Medicine | IL | TBD |
| I20040823001152 | I | Emergency Medicine | WI | TBD |
| I20140226001942 | I | Family Practice | IN | TBD |
| I20160224002885 | I | Family Practice | MO | 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 |
|---|---|---|---|---|
| 99284 | Emergency department visit with moderate level of medical decision making | 37 | 36 | $0 |
| 99285 | Emergency department visit with high level of medical decision making | 29 | 29 | $0 |
Insurance plans in this area (ZIP 60462)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | TN | |
| Nurse Practitioner | MO | |
| Nurse Practitioner | AR | |
| Internal Medicine | WA | |
| Internal Medicine | MD | |
| Nurse Practitioner | MO | |
| General Surgery | MO | |
| Nurse Practitioner | AR | |
| A N E S T H E S I O L O G Y | MO | |
| Nurse Practitioner | TN |
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