NSO AGBOR NSO (MD) – Hospitalist Physician, NPI 1750898367
Hospitalist Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,540 HOSPITALIST in NY
Provider Addresses for NSO AGBOR NSO (MD)
8268 164TH ST
JAMAICA, NY 114321121
Phone: (718) 883-3000
Type: Location
2650 RIDGE AVE.
IM/ICU HOSPITALISTS
BURR EVANSTON, IL 602011718
Phone: (847) 570-1010
Fax: (847) 733-5108
Type: Mailing
8268 164th St
Jamaica, NY 114321121
Phone: (718) 883-3000
Type: Location
2650 Ridge Ave Ste 1304
Evanston, IL 602011700
Phone: (847) 864-3278
Fax: (847) 676-1727
Type: Location
2243 Keating Dr
Aurora, IL 605037612
Phone: (331) 431-9864
Type: Location
2243, Keating Drive, Aurora, Oswego Township, Kendall County, Illinois, 60503, United States
AURORA, IL 605037612
Phone: (331) 431-9864
Type: Mailing
150 HARVESTER DR STE 300
BURR RIDGE, IL 605275965
Phone: (773) 702-1150
Type: Mailing
2650 RIDGE AVE STE 1304
EVANSTON, IL 602011700
Phone: (847) 864-3278
Fax: (847) 676-1727
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 53 Open Payments records for all available years, with a total value of $3,002.
Total Amount is formed as General ($3,002) + Research ($0) + Ownership ($0) = $3,002.
Last reported payment date: 2024-12-09 • Largest payer in this snapshot: Penumbra, Inc. ($1,665).
Total Amount
$3,002
General + Research + Ownership
Payments
53
Total payment records
General Amount
$3,002
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-09
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: 2024-08-15
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20240815001816 | I | Hospitalist | 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 11432)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IL | |
| N E U R O L O G Y | IL | |
| Hospitalist, Internal Medicine | IL | |
| O P H T H A L M O L O G Y | IL | |
| - | IL | |
| Allergy/Immunology, Internal Medicine | IL | |
| Physician Assistant | IL | |
| Hematology/Oncology, Internal Medicine | MO | |
| Nurse Practitioner | IL | |
| Gynecological Oncology, Obstetrics/Gynecology | IL |
Reviews
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