GENESIS CLINICAL SERVICES – Multi-Specialty Clinic/Center, NPI 1265432140

GENESIS CLINICAL SERVICES is a healthcare provider. based in Wheaton, Illinois. specializing in Multi-Specialty Clinic/Center. The NPI Number for GENESIS CLINICAL SERVICES is 1265432140

Main info

Organization
Name
GENESIS CLINICAL SERVICES
NPI
1265432140
Phone
(630) 653-6441
Address
1725 S NAPERVILLE RD
Authorized Official
RALPH M ORLAND PRESIDENT M.D.
Enumeration Date
21 July 2005
Last Update Date
22 August 2020
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:20State licenses:0Digital endpointsOther names

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Provider Addresses for GENESIS CLINICAL SERVICES

  • 1725, South Naperville Road, Wheaton, DuPage County, Illinois, 60189, United States

    SUITE 206

    WHEATON, IL 601878155

    Phone: (630) 653-6441

    Fax: (630) 653-8409

    Mailing address matches the actual address.

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: 2004-08-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2025-08-31 (288 days ago).

Enrollment records

1

Earliest due date

2025-08-31

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20040820000249OClinic/Group PracticeIL2025-08-31

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.

Verify on CMS Revalidation Lookup Tool

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 60187)

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Reviews

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Frequently asked questions

What is GENESIS CLINICAL SERVICES's NPI number?
GENESIS CLINICAL SERVICES's NPI is 1265432140 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to GENESIS CLINICAL SERVICES?
You should see GENESIS CLINICAL SERVICES as active in CMS-hosted NPPES data.
What expertise is attributed to GENESIS CLINICAL SERVICES?
GENESIS CLINICAL SERVICES's specialty line reads Multi-Specialty Clinic/Center. Clinical services aligned with this taxonomy classification.
Is GENESIS CLINICAL SERVICES located near Wheaton?
GENESIS CLINICAL SERVICES currently maps to Wheaton, Illinois in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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