NEMR S EID (MD) – Pediatric Pulmonology Physician, NPI 1235113192
Pediatric Pulmonology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for NEMR S EID (MD)
210 East Gray St
Ste 1000
Louisville, KY 402023906
Phone: (502) 629-8830
Fax: (502) 629-7540
Type: Location
Music Box Theatre, 3733, North Southport Avenue, Wrigleyville, Lake View, Lakeview, Chicago, Lake View Township, Cook County, Illinois, 60613, United States
CHICAGO, IL 606776879
Phone: (502) 272-5817
Fax: (502) 272-5339
Type: Mailing
East Chestnut Street, Louisville, Jefferson County, Kentucky, 40202, United States
LOUISVILLE, KY 402021713
Phone: (502) 588-4940
Fax: (502) 588-7712
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $1,650.
Total Amount is formed as General ($1,650) + Research ($0) + Ownership ($0) = $1,650.
Last reported payment date: 2023-07-11 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($1,650).
Total Amount
$1,650
General + Research + Ownership
Payments
2
Total payment records
General Amount
$1,650
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-07-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $1,650 |
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: 2004-09-11
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 |
|---|---|---|---|---|
| I20040911000155 | I | Pediatric Medicine | KY | 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 40202)
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Reviews
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