NANI INTERNAL MED LLC – Internal Medicine Physician, NPI 1740765700
Internal Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for NANI INTERNAL MED LLC
412 63rd St Ste 100
Downers Grove, IL 605162000
Phone: (331) 775-2783
Type: Location
251 N Cass Ave Ste 100
Westmont, IL 605591745
Phone: (630) 963-0309
Type: Location
120 W 22nd St
Oak Brook, IL 605231557
Phone: (630) 974-5216
Type: Location
West 22nd Street, Oak Brook, DuPage County, Illinois, 60521, United States
OAK BROOK, IL 605231557
Phone: (331) 216-1124
Type: Location
6438 JOLIET RD STE 203
COUNTRYSIDE, IL 605254624
Phone: (708) 352-5222
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: 2019-01-03
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-03-31 (797 days ago).
Enrollment records
1
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 |
|---|---|---|---|---|
| O20190103001385 | O | Clinic/Group Practice | IL | 2024-03-31 |
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 60516)
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