DR. JONATHAN SEBASTIAN CORDOVA (D.O.) – Pediatrics Physician, NPI 1609195601
Pediatrics Physician
Main info
Contacts
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. JONATHAN SEBASTIAN CORDOVA (D.O.)
3232 LAKE AVE STE 330
WILMETTE, IL 600911085
Phone: (847) 570-1795
Type: Mailing
2160 S 1ST AVE
MAYWOOD, IL 601533328
Phone: (708) 216-9000
Type: Location
2180 PFINGSTEN RD
ROOM B0000, CUBICLE B027G
GLENVIEW, IL 600261339
Phone: (847) 570-1795
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 14 Open Payments records for all available years, with a total value of $729.
Total Amount is formed as General ($729) + Research ($0) + Ownership ($0) = $729.
Last reported payment date: 2024-10-15 • Largest payer in this snapshot: ABBVIE INC. ($394).
Total Amount
$729
General + Research + Ownership
Payments
14
Total payment records
General Amount
$729
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-15
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $394 |
| Regeneron Pharmaceuticals, Inc. | $133 |
| Janssen Biotech, Inc. | $102 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $44 |
| Sandoz Inc. | $36 |
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: 2016-06-13
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
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 |
|---|---|---|---|---|
| I20160613001115 | I | Pediatric Medicine | IL | 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 60091)
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