HARIS MEDICAL GROUP LLC – Nephrology Physician, NPI 1710352091
Nephrology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for HARIS MEDICAL GROUP LLC
1252 Ogden Ave Ste B
Downers Grove, IL 605152740
Phone: (630) 782-9780
Fax: (630) 782-9781
Type: Location
1127 S ARLINGTON HTS RD
ARLINGTON HTS, IL 60005
Phone: (630) 782-9780
Fax: (630) 782-9781
Type: Location
1634 S ARDMORE AVE
VILLA PARK, IL 601813742
Phone: (630) 847-7880
Fax: (630) 559-9004
Type: Mailing
240 E LAKE ST STE 102
ADDISON, IL 601012873
Phone: (630) 782-9780
Fax: (630) 782-9781
Type: Location
1252 OGDEN AVE STE B
DOWNERS GROVE, IL 605152740
Phone: (630) 847-7880
Fax: (630) 559-9004
Type: Mailing
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: 2016-01-07
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-07-31 (677 days ago).
Enrollment records
1
Earliest due date
2024-07-31
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 |
|---|---|---|---|---|
| O20160107000531 | O | Clinic/Group Practice | IL | 2024-07-31 |
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 60515)
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