MEDOVATE LLC – Multi-Specialty Clinic/Center, NPI 1053816835
Multi-Specialty Clinic/Center
Main info
Contacts
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MEDOVATE LLC
680 N Lake Shore Dr Ste 1425
Chicago, IL 606114451
Phone: (847) 499-5500
Type: Location
1237, Country Lane, Deerfield, Lake County, Illinois, 60015, United States
DEERFIELD, IL 600154722
Phone: (847) 530-1215
Type: Mailing
Busch Parkway, Buffalo Grove, Lake County, Illinois, 60089, United States
BUFFALO GROVE, IL 600894541
Phone: (847) 499-5500
Type: Location
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: 2018-10-15
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-10-31 (952 days ago).
Enrollment records
1
Earliest due date
2023-10-31
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 |
|---|---|---|---|---|
| O20181015000916 | O | Clinic/Group Practice | IL | 2023-10-31 |
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 60611)
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