KELLY MAE ATASSI (D.O.) – Sports Medicine (Physical Medicine & Rehabilitation) Physician, NPI 1871026856
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,037 FAMILY PRACTICE in IL
Provider Addresses for KELLY MAE ATASSI (D.O.)
2160 S 1st Ave
Maywood, IL 601533328
Phone: (888) 584-7888
Type: Location
355 E Erie St
Chicago, IL 60611
Phone: (312) 238-1000
Type: Location
2001 W 86th St
Internal Medicine 3 North
Indianapolis, IN 462601902
Phone: (317) 338-6399
Fax: (317) 338-6359
Type: Location
Shirley Ryan AbilityLab, 355, East Erie Street, Streeterville, Near North Side, Chicago, Cook County, Illinois, 60611, United States
CHICAGO, IL 606113167
Phone: (312) 238-1000
Type: Mailing
737 N MICHIGAN AVE STE 960
CHICAGO, IL 606116659
Phone: (312) 416-4363
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 $20.
Total Amount is formed as General ($20) + Research ($0) + Ownership ($0) = $20.
Last reported payment date: 2023-03-21 • Largest payer in this snapshot: Pacira Pharmaceuticals Incorporated ($20).
Total Amount
$20
General + Research + Ownership
Payments
1
Total payment records
General Amount
$20
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-03-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Pacira Pharmaceuticals Incorporated | $20 |
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: 2021-07-20
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 |
|---|---|---|---|---|
| I20210720001244 | 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 60153)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | MI | |
| Internal Medicine, Sleep Medicine | IL | |
| Orthopedic Surgery | IL | |
| A N E S T H E S I O L O G Y | MI | |
| Diagnostic Radiology | IL | |
| O B S T E T R I C S/ G Y N E C O L O G Y | FL | |
| Diagnostic Radiology | IL | |
| Orthopedic Surgery | IL | |
| Hospitalist, Internal Medicine | IL | |
| Nurse Practitioner | IL |
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