OPTUM INFUSION SERVICES 553, LLC – Home Infusion Therapy Pharmacy, NPI 1982602991
Home Infusion Therapy Pharmacy
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for OPTUM INFUSION SERVICES 553, LLC
1910, Michigan Box Company, Detroit, Wayne County, Michigan, 48211, United States
DETROIT, MI 482674908
Phone: (888) 571-3100
Fax: (800) 582-9315
Type: Mailing
140, Northway Court, Raleigh, Wake County, North Carolina, 27615, United States
RALEIGH, NC 276154916
Phone: (800) 465-3203
Fax: (800) 582-9315
Type: Location
6531 MERIDIEN DR STE 113
RALEIGH, NC 276163213
Phone: (800) 465-3203
Fax: (800) 582-9315
Type: Location
PO BOX 851378
MINNEAPOLIS, MN 554851378
Phone: (888) 571-3100
Fax: (800) 582-9315
Type: Mailing
1 OPTUM CIR STE 100
EDEN PRAIRIE, MN 553442956
Phone: (800) 328-5979
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: 2021-02-10
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2025-09-30 (253 days ago).
Enrollment records
3
Earliest due date
2025-09-30
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 |
|---|---|---|---|---|
| O20080317000077 | O | Other | NC | 2025-09-30 |
| O20100930072724 | O | Pharmacy | NC | TBD |
| O20210210000129 | O | Home Infusion Therapy Supplier | NC | 2026-02-28 |
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 48267)
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