STELLAR PAIN AND SPINE SPECIALISTS – Interventional Pain Medicine Physician, NPI 1154777159
Interventional Pain Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for STELLAR PAIN AND SPINE SPECIALISTS
830 N ASHLAND AVE
1N
CHICAGO, IL 606225684
Phone: (773) 280-7001
Fax: (773) 280-7597
Type: Location
5215 N California Ave Ste 800
Chicago, IL 606257014
Phone: (773) 325-5218
Type: Location
5215 N California Ave
Chicago, IL 606257014
Phone: (779) 898-6222
Type: Location
7435 W Talcott Ave
Chicago, IL 606313707
Phone: (773) 792-5177
Type: Location
2740 W Foster Ave Ste 309
Chicago, IL 606253591
Phone: (773) 280-7001
Fax: (773) 280-7597
Type: Location
2900 N Lake Shore Dr
Chicago, IL 606575640
Phone: (773) 665-3000
Type: Location
7411 Lake St Ste L180
River Forest, IL 603052300
Phone: (708) 763-4781
Type: Location
4646 N Marine Dr
Chicago, IL 606405759
Phone: (844) 796-5927
Type: Location
5215, North California Avenue, Bowmanville, Lincoln Square, Chicago, Jefferson Township, Cook County, Illinois, 60625, United States
CHICAGO, IL 606257014
Phone: (224) 231-4804
Type: Location
Sherwood Drive, Lake Bluff, Lake County, Illinois, 60044, United States
LAKE BLUFF, IL 600442203
Phone:
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: 2025-05-12
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-07-31 (1044 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 |
|---|---|---|---|---|
| O20160720001373 | O | Clinic/Group Practice | IL | 2023-07-31 |
| O20250512000155 | O | Physician - Interventional Pain Management | IL | TBD |
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 60622)
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