ANDREW EBANKS – Pediatrics Physician, NPI 1629537873
Pediatrics Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
1,159 PEDIATRIC MEDICINE in IL
Provider Addresses for ANDREW EBANKS
5841 S Maryland Ave
Chicago, IL 606371443
Phone: (888) 824-0200
Type: Location
4440 W 95th St
Oak Lawn, IL 604532600
Phone: (708) 684-5580
Type: Location
1200, North State Street, Boyle Heights, Los Angeles, Los Angeles County, California, 90033, United States
LOS ANGELES, CA 900331083
Phone:
Type: Mailing
225 E CHICAGO AVE
CHICAGO, IL 606112991
Phone: (312) 227-4200
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $283.
Total Amount is formed as General ($283) + Research ($0) + Ownership ($0) = $283.
Last reported payment date: 2024-08-16 • Largest payer in this snapshot: Mirum Pharmaceuticals, Inc. ($283).
Total Amount
$283
General + Research + Ownership
Payments
2
Total payment records
General Amount
$283
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Mirum Pharmaceuticals, Inc. | $283 |
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: 2025-09-17
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 |
|---|---|---|---|---|
| I20250917001713 | I | Pediatric Medicine | 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 60637)
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