OPTUM INFUSION SERVICES 501 INC – Community/Retail Pharmacy, NPI 1780605741
Community/Retail Pharmacy
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for OPTUM INFUSION SERVICES 501 INC
1370, Busch Parkway, Buffalo Grove, Lake County, Illinois, 60089, United States
BUFFALO GROVE, IL 600894505
Phone: (800) 243-4621
Fax: (877) 542-9352
Type: Location
PO BOX 851378
ATTN: OIS 501 - BUFFALO GROVE
MINNEAPOLIS, MN 55485
Phone: (810) 768-9429
Fax: (844) 235-9902
Type: Mailing
1 OPTUM CIR STE 100
EDEN PRAIRIE, MN 553442956
Phone: (800) 328-5979
Type: Mailing
4100, South Saginaw Street, Burton, Flint, Genesee County, Michigan, 48507, United States
FLINT, MI 485072683
Phone: (810) 720-4450
Fax: (810) 282-0158
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: 2021-08-27
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-08-31 (648 days ago).
Enrollment records
1
Earliest due date
2024-08-31
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 |
|---|---|---|---|---|
| O20210827000593 | O | Pharmacy | IL | 2024-08-31 |
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 60089)
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