CANCER MEDICINE GROUP INC – Hematology & Oncology Physician, NPI 1376505065
Hematology & Oncology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for CANCER MEDICINE GROUP INC
Lake Point Tower, 505, North Lake Shore Drive, Loop, Chicago, Cook County, Illinois, 60611, United States
SUITE 5811
CHICAGO, IL 606113427
Phone: (773) 731-2982
Fax: (773) 731-3328
Type: Mailing
6111 HARRISON ST STE 331
MERRILLVILLE, IN 464102972
Phone: (219) 985-2128
Fax: (219) 985-2794
Type: Location
2301, East 93rd Street, Pill Hill, Calumet Heights, Chicago, Hyde Park Township, Cook County, Illinois, 60617, United States
SUITE 110
CHICAGO, IL 606173913
Phone: (773) 731-2982
Fax: (773) 731-3328
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: 2012-10-17
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-03-31 (800 days ago).
Enrollment records
2
Earliest due date
2024-03-31
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 |
|---|---|---|---|---|
| O20050214000681 | O | Clinic/Group Practice | IL | 2024-03-31 |
| O20121017000120 | O | Clinic/Group Practice | IN | 2025-07-31 |
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 60611)
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