VILLAGE OF BOLINGBROOK ILLINOIS – Land Ambulance, NPI 1104811967
Land Ambulance
Main info
Profile Insights
NPPES metrics only — not quality of care.
Loading map...
Provider Addresses for VILLAGE OF BOLINGBROOK ILLINOIS
395, West Lake Street, Elmhurst, Addison Township, DuPage County, Illinois, 60126, United States
ELMHURST, IL 601261508
Phone: (630) 903-2372
Fax: (630) 903-2830
Type: Mailing
Bolingbrook Village Hall, 375, West Briarcliff Road, Bolingbrook, Will County, Illinois, 60440, United States
BOLINGBROOK, IL 604403825
Phone: (630) 226-8540
Fax: (630) 759-4016
Type: Location
PO BOX 6253
CAROL STREAM, IL 601976253
Phone: (630) 530-2988
Fax: (630) 832-9750
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
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: 2007-11-09
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-05-31 (742 days ago).
Enrollment records
1
Earliest due date
2024-05-31
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 |
|---|---|---|---|---|
| O20071109000547 | O | Ambulance Service Supplier | IL | 2024-05-31 |
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| A0425 | Ground mileage, per statute mile | 1,757 | 27 | $0 |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 757 | 512 | $0 |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 305 | 213 | $0 |
| A0433 | Advanced life support, level 2 (als 2) | 19 | 19 | $0 |
Insurance plans in this area (ZIP 60126)
Loading plans...
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.