DR. LYDIA M SOSENKO (D.D.S., A.BDSM) – Dentist, NPI 1801002506

DR. LYDIA M SOSENKO (D.D.S., A.BDSM) is a healthcare provider. based in Homer glen, Illinois. specializing in DENTIST. They hold the professional credentials D.D.S., A.BDSM. They hold a License No. 019.022305 (IL). The NPI Number for DR. LYDIA M SOSENKO (D.D.S., A.BDSM) is 1801002506

Main info

Female
36 Years Of Experience
Name
DR. LYDIA M SOSENKO (D.D.S., A.BDSM)
NPI
1801002506
Phone
(630) 218-1920
Address
14831 W 159TH ST STE 1
Enumeration Date
16 May 2007
Last Update Date
31 July 2025

Doctor Profile

Medical School Name
UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Secondary Phone
8479834518
Graduation Year
1990 (36 years ago)
PAC ID
9133207194
Group Practice PAC ID
8820287121
Professional Enrollment ID
I20080416000566
Address ID
IL600761247SK4711XRDXX303
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness85
Years active:19State licenses:1Digital endpointsOther names

73 DENTIST in IL

Provider Addresses for DR. LYDIA M SOSENKO (D.D.S., A.BDSM)

  • 14831 W 159TH ST STE 1

    HOMER GLEN, IL 604919008

    Phone: (630) 218-1920

    Fax: (815) 744-7059

    Type: Mailing

  • 1 EXECUTIVE CT STE 3

    S BARRINGTON, IL 600109533

    Phone: (630) 218-1920

    Fax: (815) 744-7059

    Type: Location

  • 1100, North Sherman Avenue, Naperville, DuPage County, Illinois, 60563, United States

    SUITE 103

    NAPERVILLE, IL 605638608

    Phone: (630) 369-5225

    Fax: (630) 369-7416

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 22 Open Payments records for all available years, with a total value of $468.

Total Amount is formed as General ($468) + Research ($0) + Ownership ($0) = $468.

Last reported payment date: 2024-12-26 • Largest payer in this snapshot: Avadel CNS Pharmaceuticals, LLC ($323).

Total Amount

$468

General + Research + Ownership

Payments

22

Total payment records

General Amount

$468

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-26

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: 2008-04-16

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
I20080416000566IDentistILTBD

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 60491)

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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: 8820287121View full group profile

Reviews

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Frequently asked questions

What NPI should I save for DR. LYDIA M SOSENKO (D.D.S., A.BDSM)?
Save NPI 1801002506 if you need a stable reference for DR. LYDIA M SOSENKO (D.D.S., A.BDSM).
Is DR. LYDIA M SOSENKO (D.D.S., A.BDSM)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does DR. LYDIA M SOSENKO (D.D.S., A.BDSM) list a primary specialty?
If you are matching referrals, note Dentist for DR. LYDIA M SOSENKO (D.D.S., A.BDSM). Clinical services aligned with this taxonomy classification.
Where does public data place DR. LYDIA M SOSENKO (D.D.S., A.BDSM)?
The snapshot lists Homer Glen, Illinois for DR. LYDIA M SOSENKO (D.D.S., A.BDSM); download NPPES for the complete set.
Is DR. LYDIA M SOSENKO (D.D.S., A.BDSM) a real provider?
This page reflects official NPPES data for NPI 1801002506. Always confirm identity and privileges with the practice and licensing boards.

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