DR. ATHA ALI HYDERI (O.D) – Pediatric Optometrist, NPI 1689617375

DR. ATHA ALI HYDERI (O.D) is a healthcare provider. based in Roselle, Illinois. specializing in OPTOMETRY. They hold the professional credentials O.D. The NPI Number for DR. ATHA ALI HYDERI (O.D) is 1689617375

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
DR. ATHA ALI HYDERI (O.D)
NPI
1689617375
Phone
(630) 660-5737
Address
833 N ROSELLE RD
Enumeration Date
13 June 2006
Last Update Date
11 September 2025

Doctor Profile

Medical School Name
ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Secondary Phone
6306682020
Graduation Year
2002 (24 years ago)
PAC ID
4284524182
Group Practice PAC ID
9335388347
Professional Enrollment ID
I20040317000085
Address ID
IL601902058WI27XXXRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness85
Years active:19State licenses:0Digital endpointsOther names

1,715 OPTOMETRY in IL

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Provider Addresses for DR. ATHA ALI HYDERI (O.D)

  • 833, North Roselle Road, Roselle, Schaumburg Township, Cook County, Illinois, 60172, United States

    ROSELLE, IL 60172

    Phone: (630) 660-5737

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $678.

Total Amount is formed as General ($678) + Research ($0) + Ownership ($0) = $678.

Last reported payment date: 2024-10-10 • Largest payer in this snapshot: CooperVision Inc. ($283).

Total Amount

$678

General + Research + Ownership

Payments

10

Total payment records

General Amount

$678

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-10

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2004-03-17

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040317000085IOptometryILTBD

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.

Verify on CMS Revalidation Lookup Tool

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 60172)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9335388347View full group profile
NameSpecialtyState
O P T O M E T R YIL
O P T O M E T R YIL
O P T O M E T R YIL

Reviews

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Frequently asked questions

What identifier follows DR. ATHA ALI HYDERI (O.D) across health systems?
The NPI 1689617375 uniquely identifies DR. ATHA ALI HYDERI (O.D) in U.S. healthcare data.
Is DR. ATHA ALI HYDERI (O.D)'s NPI status active today?
Active status means DR. ATHA ALI HYDERI (O.D)'s NPI record is not deactivated in the public file.
What does the directory say DR. ATHA ALI HYDERI (O.D) does?
Insurance directories may phrase it differently, but here DR. ATHA ALI HYDERI (O.D) maps to Pediatric Optometrist. Clinical services aligned with this taxonomy classification.
Is DR. ATHA ALI HYDERI (O.D) tied to Roselle, Illinois?
If you are local to Roselle, Illinois, DR. ATHA ALI HYDERI (O.D) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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