PAIN THERAPY ASSOCIATES LTD. – Specialist, NPI 1053425454
Specialist
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for PAIN THERAPY ASSOCIATES LTD.
3200 W HIGGINS RD STE 101
HOFFMAN ESTATES, IL 601692174
Phone: (847) 352-5511
Fax: (847) 352-5585
Type: Mailing
455, South Roselle Road, Schaumburg, Schaumburg Township, Cook County, Illinois, 60193, United States
STE 104
SCHAUMBURG, IL 601932971
Phone: (847) 352-5511
Fax: (847) 352-5585
Type: Location
627, West Oak Street, River Village Townhomes, River North, Near North Side, Chicago, North Chicago Township, Cook County, Illinois, 60610, United States
CHICAGO, IL 60610
Phone: (847) 352-5511
Fax: (847) 352-5585
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2018-02-05
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-07-31 (1045 days ago).
Enrollment records
2
Earliest due date
2023-07-31
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 |
|---|---|---|---|---|
| O20061218000406 | O | Clinic/Group Practice | IL | TBD |
| O20180205000212 | O | Physician - General Practice | IL | 2023-07-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 60169)
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