DR. TARANNUM MUJTABA (M.D) – Diagnostic Radiology Physician, NPI 1891249793
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,168 DIAGNOSTIC RADIOLOGY in FL
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Provider Addresses for DR. TARANNUM MUJTABA (M.D)
2000 OGDEN AVE
AURORA, IL 605047222
Phone: (630) 566-2233
Fax: (630) 566-3429
Type: Mailing
5841 S. MARYLAND AVE.
RM.Q219, M/C2026
CHICAGO, IL 60637
Phone: (773) 834-9980
Type: Mailing
1760, State Road 7, Pompano Park, North Lauderdale, Broward County, Florida, 33068, United States
APT. 202
NORTH LAUDERDALE, FL 330684659
Phone: (305) 505-8090
Type: Mailing
4355 MONTGOMERY ROAD
NAPERVILLE, IL 60564
Phone: (630) 236-8300
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $47.
Total Amount is formed as General ($47) + Research ($0) + Ownership ($0) = $47.
Last reported payment date: 2023-03-07 • Largest payer in this snapshot: Bard Peripheral Vascular, Inc. ($47).
Total Amount
$47
General + Research + Ownership
Payments
2
Total payment records
General Amount
$47
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-03-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Bard Peripheral Vascular, Inc. | $47 |
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: 2024-02-28
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 |
|---|---|---|---|---|
| I20240228000976 | I | Diagnostic Radiology | 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 60504)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IL | |
| Diagnostic Radiology, Interventional Radiology | IL | |
| - | IL | |
| Diagnostic Radiology | IL | |
| Diagnostic Radiology | IL | |
| Diagnostic Radiology, Interventional Radiology | IL | |
| Diagnostic Radiology | PA | |
| Diagnostic Radiology | IL | |
| Diagnostic Radiology | IL | |
| Diagnostic Radiology | IL |
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