TELEMEDICO PHYSICIANS OF WISCONSIN SC – Cardiovascular Disease Physician, NPI 1215414727
Cardiovascular Disease Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for TELEMEDICO PHYSICIANS OF WISCONSIN SC
PO BOX 1541
NORTHBROOK, IL 600651541
Phone: (847) 386-7744
Type: Mailing
33 E MAIN ST STE 610
MADISON, WI 537034655
Phone: (847) 386-7744
Type: Location
211 E 7th St Ste 620
Austin, TX 787013218
Phone: (847) 386-7744
Type: Location
West Frontage Road, Northfield, New Trier Township, Cook County, Illinois, 60093, United States
NORTHFIELD, IL 600931244
Phone: (866) 227-3606
Fax: (773) 439-2444
Type: Mailing
1, South Bedford Street, The Yards, Bassett, Madison, Dane County, Wisconsin, 53703, United States
MADISON, WI 537033691
Phone: (866) 227-3606
Fax: (773) 439-2444
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: 2026-01-05
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-09-30 (987 days ago).
Enrollment records
2
Earliest due date
2023-09-30
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 |
|---|---|---|---|---|
| O20180918004312 | O | Clinic/Group Practice | WI | 2023-09-30 |
| O20260105000016 | O | Clinic/Group Practice | TX | 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 60065)
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