DR. PETER THOMAS GEORGINIS (MD) – Internal Medicine Physician, NPI 1629426366
Internal Medicine Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
2,390 HOSPITALIST in IL
Provider Addresses for DR. PETER THOMAS GEORGINIS (MD)
180 HARVESTER DR STE 110
BURR RIDGE, IL 605276686
Phone: (773) 702-1150
Type: Mailing
5841 S MARYLAND AVE
CHICAGO, IL 60637
Phone: (773) 702-1234
Type: Location
695 PARK AVE
LAKE VILLA, IL 600466531
Phone: (224) 541-9100
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: 2022-08-18
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 |
|---|---|---|---|---|
| I20220818003585 | I | Hospitalist | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 60527)
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Group practice members
- 1
- 2
- 3
| Name | Specialty | State |
|---|---|---|
| Family Practice | TX | |
| Physician Assistant | MA | |
| E N D O C R I N O L O G Y | MA | |
| Physician Assistant | TX | |
| Internal Medicine | TX | |
| Family Practice | WA | |
| Internal Medicine | NY | |
| Internal Medicine | NY | |
| Family Practice | NJ | |
| Internal Medicine, Hospitalist | CA |
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