AUDREY LYNN TANKSLEY (MD) – Internal Medicine Physician, NPI 1750524518
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,824 INTERNAL MEDICINE in IL
Provider Addresses for AUDREY LYNN TANKSLEY (MD)
9449 S KEDZIE AVE
EVERGREEN PARK, IL 608052325
Phone: (224) 955-8069
Type: Mailing
Advocate Children's Hospital, 4440, West 95th Street, Oak Lawn, Worth Township, Cook County, Illinois, 60453, United States
131 NO
OAK LAWN, IL 604532600
Phone: (773) 580-3615
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 25 Open Payments records for all available years, with a total value of $921.
Total Amount is formed as General ($921) + Research ($0) + Ownership ($0) = $921.
Last reported payment date: 2024-12-16 • Largest payer in this snapshot: ABBVIE INC. ($127).
Total Amount
$921
General + Research + Ownership
Payments
25
Total payment records
General Amount
$921
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $127 |
| Merck Sharp & Dohme LLC | $122 |
| AstraZeneca Pharmaceuticals LP | $121 |
| Gilead Sciences, Inc. | $108 |
| Indivior Inc. | $105 |
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: 2012-10-02
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 |
|---|---|---|---|---|
| I20121002000288 | I | Internal 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 60805)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P S Y C H I A T R Y | IL | |
| P S Y C H I A T R Y | IL | |
| P S Y C H I A T R Y | IL | |
| Nurse Practitioner | IL | |
| - | IL |
Reviews
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