MAOXIIM TELLEZ (M.D.) – Family Medicine Physician, NPI 1740311349
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,037 FAMILY PRACTICE in IL
Provider Addresses for MAOXIIM TELLEZ (M.D.)
1 CENTRE DR
PETERSBURG, IL 626759467
Phone: (217) 632-7761
Fax: (217) 632-0312
Type: Location
PO BOX 3428
SPRINGFIELD, IL 627083428
Phone: (800) 577-5368
Fax: (217) 757-2021
Type: Mailing
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 $119.
Total Amount is formed as General ($119) + Research ($0) + Ownership ($0) = $119.
Last reported payment date: 2024-04-11 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($119).
Total Amount
$119
General + Research + Ownership
Payments
1
Total payment records
General Amount
$119
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Otsuka America Pharmaceutical, Inc. | $119 |
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: 2007-07-31
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 |
|---|---|---|---|---|
| I20070731000451 | I | Family Practice | 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 62675)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | NJ | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| Vascular Surgery | IL | |
| Nurse Practitioner | IL | |
| Physician Assistant | IL | |
| - | IL | |
| Mental Health Counselor | IL | |
| - | IL | |
| Physician Assistant | IL |
Reviews
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