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Deactivated NPI 1972593549 Deactivated / Inactive NPI Male Practitioner

Dr. Mark Ros , MD

Ophthalmology • Lombard, IL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Mark Ros has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 25, 2005
NPI Deactivation Date April 09, 2026
Total Practice Duration ~21 Years of Practice (2005 – 2026)

Professional Overview & Biography Verified Profile Summary

Dr. Mark Ros, MD was a registered Ophthalmology practicing in Lombard, IL. Throughout an active medical career spanning 21 years, Dr. Ros provided care at the practice location at 130 S MAIN ST until profile deactivation on 2026-04-09.

Historical Medicare Part B clinical services included established patient complete exam of visual system, new patient complete exam of visual system, established patient problem focused exam of visual system. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

130 S Main St
Ste 305

Lombard, IL 601482670

Telephone 6304260505
Fax 6304260506
Associated Practice Facility / Clinic
🏢 Suburban Retina Ltd Facility NPI 1710033352

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Lombard, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 34.5 Yrs
State Avg: 31.1 Yrs
Regional Practice Density
5 Specialists

Practicing in Lombard, IL (954 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
5.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2019)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
92014 Established patient complete exam of visual system
268 175 $139.85 $130.76
92004 New patient complete exam of visual system
36 36 $163.75 $157.61
92012 Established patient problem focused exam of visual system
16 14 $97.50 $91.71

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License IL 036077495

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

15 Associated Practitioners
Dr. Hamid Khan , MD

Orthopaedic Surgery

NPI 1043256746

Doctor of Medicine (M.D.)

Dr. Meghan Gorski , DO

Emergency Medicine

NPI 1144670555

Doctor of Osteopathic Medicine (D.O.)

Dr. Scott Sims , MD

Emergency Medicine

NPI 1194797902

Doctor of Medicine (M.D.)

NPI 1306825930

Doctor of Medicine (M.D.)

NPI 1316908759

Doctor of Medicine (M.D.)

Jon Mirabito , PA-C

Physician Assistant

NPI 1467978049

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated April 09, 2026

Record deactivated on April 09, 2026

NPI Profile Active March 14, 2012

NPI status registered as active in NPPES database

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Updated Practice Location March 14, 2012

Registered at 130 S MAIN ST, STE 305, LOMBARD, IL 601482670 (Tel: 6304260505)

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Updated Business Mailing Address March 14, 2012

Registered at 130 S MAIN ST, STE 305, LOMBARD, IL 601482670 (Tel: 6304260505)

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Provider Name / Credentials Updated March 14, 2012

Recorded as MARK ROS, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 14, 2012

Ophthalmology (License #036077495 in IL)

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Initial NPI Registration & Enumeration October 25, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1972593549
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 25, 2005
Last Update: March 14, 2012
Deactivation Date: April 09, 2026

Mailing Address

130 S Main St, Ste 305

Lombard, IL 601482670

Phone: 6304260505

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.