DOUGLAS NORDLI (MD) – Neurology with Special Qualifications in Child Neurology Physician, NPI 1386755486
Neurology with Special Qualifications in Child Neurology Physician
Main info
Contacts
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DOUGLAS NORDLI (MD)
150 HARVESTER DR STE 300
BURR RIDGE, IL 605275965
Phone: (773) 883-6158
Type: Mailing
5841 S MARYLAND AVE # MC3055
CHICAGO, IL 606371443
Phone: (773) 883-6158
Fax: (773) 868-8904
Type: Location
305 W Jackson St Ste 103
Carbondale, IL 629011474
Phone: (618) 351-4972
Fax: (618) 351-6522
Type: Location
150 HARVESTER DR
SUITE 300
BURR RIDGE, IL 605275919
Phone:
Type: Mailing
5841 S MARYLAND AVE
CHICAGO, IL 606371443
Phone: (888) 824-0200
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $144,180.
Total Amount is formed as General ($144,180) + Research ($0) + Ownership ($0) = $144,180.
Last reported payment date: 2023-04-12 • Largest payer in this snapshot: Eisai Inc. ($144,180).
Total Amount
$144,180
General + Research + Ownership
Payments
1
Total payment records
General Amount
$144,180
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-04-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Eisai Inc. | $144,180 |
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: 2016-05-17
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
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 |
|---|---|---|---|---|
| I20080227000516 | I | Pediatric Medicine | IL | TBD |
| I20160517001343 | I | Neurology | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
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 60527)
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