HEALTH VAX LLC – Public Health or Welfare Agency, NPI 1083423875
Public Health or Welfare Agency
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for HEALTH VAX LLC
6501 S Cass Ave
Westmont, IL 605593200
Phone: (630) 960-2026
Type: Location
1744 OAK AVE
EVANSTON, IL 602012287
Phone: (502) 322-7622
Type: Mailing
1264 N WILSON RD
COLUMBUS, OH 432041574
Phone: (502) 322-7622
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: 2025-09-03
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 8 Medicare enrollment records; no due dates published yet.
Enrollment records
8
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 |
|---|---|---|---|---|
| O20250707001266 | O | Mass Immunization (Roster Biller Only) | IN | TBD |
| O20250708003851 | O | Mass Immunization (Roster Biller Only) | IL | TBD |
| O20250725003899 | O | Mass Immunization (Roster Biller Only) | OH | TBD |
| O20250805000852 | O | Mass Immunization (Roster Biller Only) | NY | TBD |
| O20250806002941 | O | Mass Immunization (Roster Biller Only) | NC | TBD |
| O20250818000621 | O | Mass Immunization (Roster Biller Only) | VA | TBD |
| O20250820002413 | O | Mass Immunization (Roster Biller Only) | FL | TBD |
| O20250903001408 | O | Mass Immunization (Roster Biller Only) | MI | 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 60559)
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