DR. ATHA ALI HYDERI O.D
NPI 1689617375
Optometrist - Pediatrics in Roselle, IL

Active since June 13, 2006PECOS EnrolledAccepts Medicare Assignment
833 N ROSELLE RD, ROSELLE, IL 60172(630) 660-5737 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 13, 2026, Sep 11, 2025 (2 updates tracked since 2025).

About Dr. Atha Ali Hyderi O.d NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ATHA ALI HYDERI O.D (NPI 1689617375) is an individual pediatrics provider in Roselle, Illinois and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Illinois College Of Optometry At Chicago (2002).

NPPES Registry Identity

NPI1689617375
Entity TypeIndividualMale
Primary Taxonomy152WP0200X
Provider Legal NameDR. ATHA ALI HYDERICredential: O.D
Location Address833 N ROSELLE RDRoselle, IL 60172
Mailing Address833 N Roselle RdRoselle, IL 60172 · (630) 660-5737
Sole ProprietorNo
Medical School CMSIllinois College Of Optometry At ChicagoGraduated 2002
Enumeration DateJune 13, 2006
Last NPPES UpdateJuly 13, 20262 updates tracked since enumeration
✔ NPI 1689617375 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyOptometrist · PediatricsEye and Vision Services Providers
Taxonomy Code152WP0200X
Definition
Optometrists who work in Pediatrics are concerned with the prevention, development, diagnosis, and treatment of visual problems in children.
Also ListedOptometristTaxonomy 152W00000X
Also ListedOptometrist · Corneal and Contact ManagementTaxonomy 152WC0802X
Also ListedOptometrist · Sports VisionTaxonomy 152WS0006X
Also ListedOptometrist · Occupational VisionTaxonomy 152WX0102X
833 N ROSELLE RD, Roselle, IL 60172

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Atha Ali Hyderi O.d is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4284524182
PECOS Enrollment IDI20040317000085
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Atha Hyderi reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Optometrist
27W185 GENEVA RD
Winfield, IL 60190
  • Reassigned Medicare billing, Illinois enrollment
  • 7 clinicians in this Medicare group
Optometrist
464 W HALF DAY RD
Buffalo Grove, IL 60089
  • Reassigned Medicare billing, Illinois enrollment
  • 4 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60172 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$137.43 typical visit price
range $59.81 – $181.38
Typical copayment $34.35 (range $14.95 – $45.34)
Most-billed visit code 99204
Established Patient
$74.38 typical visit price
range $19.15 – $147.12
Typical copayment $18.59 (range $4.78 – $36.78)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Optometrist
833 N ROSELLE RD
ROSELLE, IL 60172
Optometrist
833 N ROSELLE RD
ROSELLE, IL 60172

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Atha Hyderi's NPI number?

The NPI number for Atha Hyderi is 1689617375. It was assigned to this individual provider in the NPPES registry on June 13, 2006.

Where is Atha Hyderi located?

Atha Hyderi practices at 833 N Roselle Rd, Roselle, IL 60172. The listed phone number is (630) 660-5737.

What is Atha Hyderi's specialty?

The primary specialty registered for this NPI is Optometrist, specializing in Pediatrics, with taxonomy code 152WP0200X.

Is Atha Hyderi enrolled in Medicare?

Yes. Atha Hyderi is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Atha Hyderi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Atha Hyderi reassigns Medicare benefits to 2 organizations: Central Dupage Vision Center Inc. (Winfield, IL) and Half Day Optical LLC (Buffalo Grove, IL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Atha Hyderi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Atha Hyderi accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 9 other insurers list Atha Hyderi as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Atha Hyderi was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.