DR. NATHALIE MANTILLA FARFAN (M.D) – Colon & Rectal Surgery Physician, NPI 1972828671
Colon & Rectal Surgery Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
124 COLORECTAL SURGERY (PROCTOLOGY) in IL
Provider Addresses for DR. NATHALIE MANTILLA FARFAN (M.D)
1900 W Polk St # 406
Chicago, IL 606123723
Phone: (312) 864-3197
Type: Location
1130 S MICHIGAN AVE APT 3104
CHICAGO, IL 606052322
Phone: (312) 927-5299
Type: Mailing
1348 WALTON WAY STE 6500
AUGUSTA, GA 309015111
Phone: (706) 722-2118
Type: Location
406, West Polk Street, Near West Side, Chicago, West Chicago Township, Cook County, Illinois, 60624, United States
CHICAGO, IL 606123723
Phone: (312) 864-3197
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 29 Open Payments records for all available years, with a total value of $10,187.
Total Amount is formed as General ($10,187) + Research ($0) + Ownership ($0) = $10,187.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($8,548).
Total Amount
$10,187
General + Research + Ownership
Payments
29
Total payment records
General Amount
$10,187
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Intuitive Surgical, Inc. | $8,548 |
| Medtronic, Inc. | $1,136 |
| Axonics, Inc. | $504 |
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: 2025-01-23
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20180109002228 | I | General Surgery | IL | TBD |
| I20250123001985 | I | Colorectal Surgery (Proctology) | GA | 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 |
|---|---|---|---|---|
| 45378 | Diagnostic exam of large bowel using a flexible endoscope | 15 | 15 | $0 |
Insurance plans in this area (ZIP 60612)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| General Surgery | GA | |
| Nurse Practitioner | GA | |
| Critical Care (Intensivists), Pulmonary Disease, Sleep Medicine | GA | |
| - | GA | |
| Nurse Practitioner | GA | |
| - | GA | |
| General Surgery | GA | |
| Surgical Oncology | WA | |
| R H E U M A T O L O G Y | GA | |
| Pulmonary Disease, Critical Care (Intensivists), Internal Medicine, Pediatric Medicine | GA |
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