dba Southland Rheumatology Center, Ltd – Rheumatology Physician, NPI 1982793436

dba Southland Rheumatology Center, Ltd is a healthcare provider. based in Olympia fields, Illinois. specializing in Rheumatology Physician. The organization holds a License No. 036094023 (IL). The NPI Number for dba Southland Rheumatology Center, Ltd is 1982793436

Main info

Organization
Name
dba Southland Rheumatology Center, Ltd
NPI
1982793436
Phone
(708) 283-2600
Address
20060 GOVERNORS DR STE 300
Authorized Official
WENDI L JEFFERS OFFICE MANAGER
Enumeration Date
12 October 2006
Last Update Date
13 January 2009
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness80
Years active:19State licenses:1Digital endpointsUpdated within 12 months

Provider Addresses for dba Southland Rheumatology Center, Ltd

  • 20060 GOVERNORS DR STE 300

    OLYMPIA FIELDS, IL 604611099

    Phone: (708) 283-2600

    Mailing address matches the actual address.

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: 2008-05-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2024-10-31 (585 days ago).

Enrollment records

1

Earliest due date

2024-10-31

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20080506000485OClinic/Group PracticeIL2024-10-31

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.

Verify on CMS Revalidation Lookup Tool

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 60461)

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Reviews

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Frequently asked questions

What unique ID ties claims to dba Southland Rheumatology Center, Ltd?
NPI 1982793436 is assigned to dba Southland Rheumatology Center, Ltd under the national enumeration system.
Does this profile mean dba Southland Rheumatology Center, Ltd is currently active?
Yes — dba Southland Rheumatology Center, Ltd appears active in the national provider directory.
What kind of provider is dba Southland Rheumatology Center, Ltd?
The page reflects Rheumatology Physician for dba Southland Rheumatology Center, Ltd. Clinical services aligned with this taxonomy classification.
Where is dba Southland Rheumatology Center, Ltd's primary listing?
We display Olympia Fields, Illinois because that is what the record indicates for dba Southland Rheumatology Center, Ltd.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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