ROBERT L MOUSSELLI (DO) – Pain Medicine (Physical Medicine & Rehabilitation) Physician, NPI 1811309016

ROBERT L MOUSSELLI (DO) is a healthcare provider. based in Burr ridge, Illinois. specializing in PAIN MANAGEMENT. They hold the professional credentials DO. They hold a License No. 036.163144 (IL). The NPI Number for ROBERT L MOUSSELLI (DO) is 1811309016

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
ROBERT L MOUSSELLI (DO)
NPI
1811309016
Phone
(773) 702-1150
Address
180 HARVESTER DR STE 110
Enumeration Date
22 May 2014
Last Update Date
6 May 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5123716398
Graduation Year
2019 (7 years ago)
PAC ID
1153656905
Group Practice PAC ID
7012394596
Professional Enrollment ID
I20240423003716
Address ID
TX787274107AU3600XLNXX401
Telehealth
Yes
Data current as of
3 June 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness85
Years active:12State licenses:2Digital endpointsOther names

755 PAIN MANAGEMENT in TX

Provider Addresses for ROBERT L MOUSSELLI (DO)

  • 180 HARVESTER DR STE 110

    BURR RIDGE, IL 605276686

    Phone: (773) 702-1150

    Type: Mailing

  • 135 Bunton Creek Rd Ste 302

    Kyle, TX 786405701

    Phone: (512) 244-4272

    Fax: (512) 244-2895

    Type: Location

  • 200 MULLINS DR

    LEBANON, OR 973553983

    Phone: (541) 253-0200

    Type: Mailing

  • 101 W LOUIS HENNA BLVD STE 300

    AUSTIN, TX 787281203

    Phone: (512) 244-4272

    Fax: (512) 244-2895

    Type: Mailing

  • 2200 PARK BEND DR STE 300

    AUSTIN, TX 787585386

    Phone: (512) 994-4159

    Type: Location

  • 6000 S Mopac Expy Ste 100

    Austin, TX 787491113

    Phone: (512) 244-4272

    Fax: (512) 244-2895

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 117 Open Payments records for all available years, with a total value of $29,236.

Total Amount is formed as General ($29,236) + Research ($0) + Ownership ($0) = $29,236.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Medtronic, Inc. ($15,119).

Total Amount

$29,236

General + Research + Ownership

Payments

117

Total payment records

General Amount

$29,236

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2024-04-23

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
I20240423003716IPain ManagementTXTBD

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 60527)

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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: 7012394596View full group profile
NameSpecialtyState
Anesthesiology, Pain ManagementTX
Nurse PractitionerTX
Anesthesiology, Pain ManagementTX
Interventional Pain ManagementTX
Nurse PractitionerTX
Nurse PractitionerTX

Reviews

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Frequently asked questions

Can I verify ROBERT L MOUSSELLI (DO) with an NPI only?
You can start verification with NPI 1811309016 for ROBERT L MOUSSELLI (DO), then check state licensing separately.
Does the file indicate ROBERT L MOUSSELLI (DO) is practicing under active NPI?
Directory data currently reports ROBERT L MOUSSELLI (DO) as active.
What healthcare role does ROBERT L MOUSSELLI (DO) hold?
Scheduling teams often label ROBERT L MOUSSELLI (DO) under Pain Medicine (Physical Medicine & Rehabilitation) Physician. Clinical services aligned with this taxonomy classification.
Does ROBERT L MOUSSELLI (DO) list a practice location?
Patients near Burr Ridge, Illinois may find ROBERT L MOUSSELLI (DO) in results; validate coverage separately.
Is the information about ROBERT L MOUSSELLI (DO) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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