NANI Vascular at Addison – Ambulatory Surgical Clinic/Center, NPI 1467429233
Ambulatory Surgical Clinic/Center
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Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for NANI Vascular at Addison
2055 W ARMY TRAIL RD STE 110N
ADDISON, IL 601011478
Phone: (773) 284-9247
Type: Location
120 W 22ND ST STE 200
OAK BROOK, IL 605231563
Phone: (630) 573-5000
Type: Mailing
120 W 22ND ST
OAK BROOK, IL 605231557
Phone: (630) 573-5000
Fax: (630) 368-0280
Type: Mailing
2055 W ARMY TRAIL RD STE 110
ADDISON, IL 601011478
Phone: (773) 284-9247
Type: Location
PO BOX 72340
CLEVELAND, OH 441920002
Phone: (630) 573-5000
Fax: (630) 368-0280
Type: Mailing
81st Street, Justice, Lyons Township, Cook County, Illinois, 60458, United States
JUSTICE, IL 604581350
Phone: (708) 594-3500
Fax: (708) 924-9322
Type: Mailing
Forest Medical Center, 9050, West 81st Street, Justice, Lyons Township, Cook County, Illinois, 60458, United States
JUSTICE, IL 60458
Phone: (708) 594-3500
Fax: (708) 924-9322
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.
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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: 2004-09-21
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-06-30 (708 days ago).
Enrollment records
1
Earliest due date
2024-06-30
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 |
|---|---|---|---|---|
| O20040921000585 | O | Ambulatory Surgical Center | IL | 2024-06-30 |
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 36902 | Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist | 128 | 94 | $0 |
| 36589 | Removal of tunneled central venous tube | 44 | 44 | $0 |
| 36821 | Relocation of arm vein with connection to arm artery for hemodialysis | 40 | 40 | $0 |
| 36901 | Insertion of needle and/or tube into hemodialysis circuit with review by radiologist | 38 | 33 | $0 |
| 36905 | Removal and/or dissolving of blood clot in hemodialysis circuit and balloon dilation of dialysis segment with imaging review by radiologist, with balloon tube | 29 | 22 | $0 |
Insurance plans in this area (ZIP 60101)
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