Anuja Bedi, D.O, M.P.H
Individual provider Active NPI Family Medicine Physician · Urbana, IL
NPI 1003362153 · NPPES record last updated Apr 1, 2021
Key facts
- NPI
- 1003362153
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 036148912 (IL)
- Practice address
- 611 W Park St
Urbana, IL 61801-2529 - Phone
- (217) 383-3311
- NPI assigned
- Aug 29, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in TX, NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200413001276 | TX | Practitioner - Family Practice | 6103182068 | Reassigns benefits to 1 organization |
| I20241125002062 | NY | Practitioner - Family Practice | 6103182068 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Home Dialysis of Illinois LLC | Current |
Accepting new patients | |
| Fordham Medical of New York LLC | Current |
Accepting new patients | |
| Anuji Bedi NP & Company | Family Medicine | Current | Accepting new patients |
| Foxhurst Medical of New York LLC | Current |
Accepting new patients | |
| Bushwick Medical of New York LLC | Current |
Accepting new patients | |
| DRH Medical Group | Past | Accepting new patients | |
| St. Nicholas Professional Medical Services of New York LLC | Past |
Accepting new patients |
Locations
304 Wainwright Dr
Ste 120
Northbrook, IL 60062
11 E Fordham Rd
Ste B
Bronx, NY 10468
Phone (718) 301-1009
947 Southern Blvd
Ste B
Bronx, NY 10459
Phone (718) 513-5855
16203 Jamaica Ave
Ste 200C
Jamaica, NY 11432
1974 1st Ave
New York, NY 10029
Phone (212) 535-4500
314 W 23rd St
Ste C
New York, NY 10011
Phone (929) 249-5829
122 Fulton St
Ste C
New York, NY 10038
Phone (718) 732-1071
262 W 145th St
Ste C
New York, NY 10039
Phone (718) 513-5880
155 Dyckman St
Ste C
New York, NY 10040
Phone (646) 798-3978
930 E Campbell Rd
Richardson, TX 75081
Phone (469) 498-9844
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/HDEFAD/Endpoint/HDEFAD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 036148912 | IL | Yes |
Addresses
Primary practice location
611 W Park St
Urbana, IL 61801-2529
Mailing address
Manor Rd
Austin, TX 78722-1750
Other practice location 1
2827 Manor Rd
Austin, TX 78722-1747
Phone (713) 501-0821
Other providers in Urbana, IL
- Madison L Bayler
- Beaumont Small Animal Clinic
- Alexia M. Beccue
- Donna T Beck
- Sara Elizabeth Becker
- Brian Robert Beeman
- Jennifer T Behrens
- Dean Beinborn
- Carl J. Belber
- Angela Bell
All providers in Urbana, IL · Family Medicine Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 1, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.