DR. EDILBERTO E JR. NEPOMUCENO (MD) – Internal Medicine Physician, NPI 1801877337
Internal Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
8,824 INTERNAL MEDICINE in IL
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Provider Addresses for DR. EDILBERTO E JR. NEPOMUCENO (MD)
203rd Street, Olympia Fields, Rich Township, Cook County, Illinois, 60443, United States
OLYMPIA FIELDS, IL 604611180
Phone: (708) 709-6295
Fax: (708) 709-6353
Type: Location
3700 W 203rd St Ste 301
Olympia Fields, IL 604611182
Phone: (708) 679-2850
Type: Location
1423, Chicago Road, Indian Hill, Chicago Heights, Bloom Township, Cook County, Illinois, 60411, United States
CHICAGO HEIGHTS, IL 604113400
Phone: (708) 756-1000
Type: Mailing
PO BOX 781076
DETROIT, MI 482781076
Phone:
Type: Mailing
3700 W 203RD ST STE 112
OLYMPIA FIELDS, IL 604611181
Phone: (708) 679-2580
Fax: (708) 503-3810
Type: Location
3700 W 203rd St Ste 112
Olympia Fields, IL 604611181
Phone: (708) 679-2580
Fax: (708) 503-3810
Type: Location
1712 LYNWOOD CT
FLOSSMOOR, IL 604221932
Phone: (708) 957-7187
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 77 Open Payments records for all available years, with a total value of $1,501.
Total Amount is formed as General ($1,501) + Research ($0) + Ownership ($0) = $1,501.
Last reported payment date: 2024-10-31 • Largest payer in this snapshot: Lilly USA, LLC ($845).
Total Amount
$1,501
General + Research + Ownership
Payments
77
Total payment records
General Amount
$1,501
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-31
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2011-01-17
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 |
|---|---|---|---|---|
| I20110117000140 | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 345 | 221 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 150 | 150 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 94 | 79 | $0 |
| G0008 | Administration of influenza virus vaccine | 64 | 61 | $0 |
| 90662 | Influenza vaccine split virus, preservative free | 49 | 49 | $0 |
Insurance plans in this area (ZIP 60461)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | IL | |
| Cardiovascular Disease (Cardiology) | IL |
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