NPIMap

Individual provider Active NPI

Ananta Raj Pandit, M.D

  • Internal Medicine Physician
  • Chicago, IL
National Provider Identifier
1073826327
Registry record updated Feb 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
125058793 Issued in IL
Practice address
6224 S Ashland Ave
Chicago, IL 60636-2324
Phone
(773) 778-8600
NPI assigned
Jul 15, 2010
Last updated
Feb 8, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 125058793 IL Primary
Adolescent Medicine (Internal Medicine) Physician 207RA0000X 036.132209 IL

Addresses

Primary practice location

6224 S Ashland Ave
Chicago, IL 60636-2324

Mailing address

6400 Shafer CT Ste 700
Rosemont, IL 60018-4989
Phone (847) 692-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130618000197 IL Practitioner - Internal Medicine 0941449235 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mount Sinai Community FoundationGroup PAC ID 5991600405, 247 clinicians
Natarajan Medical Group of Illinois PCGroup PAC ID 8921259748, 14 clinicians

Practice addresses (Care Compare)

1401 S California Ave
Chicago, IL 60608-1858
Phone (773) 522-6656

2701 W 68TH St
Chicago, IL 60629-1813
Phone (773) 884-9000

606 Potter Rd
Des Plaines, IL 60016-5337
Phone (847) 759-9449

California Ave at 15TH St
Chicago, IL 60608-1858
Phone (773) 542-2000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
125058793ILMDInternal Medicine Physician
036.132209ILMDAdolescent Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mount Sinai Community Foundation Current Accepting new patients
Natarajan Medical Group of Illinois, PC CurrentSince Jan 10, 2022 Accepting new patients
Mount Sinai Community Foundation CurrentSince Jul 1, 2013 Accepting new patients
Mount Sinai Community Foundation Internal Medicine CurrentSince Jul 1, 2013 Accepting new patients
Holy Cross Hospital Internal Medicine Past Accepting new patients

Locations

26460 Network Pl
Chicago, IL 60673
Phone (708) 786-2900

2701 W 68th St
Chicago, IL 60629
Phone (773) 471-8000

2701 W 68th St
Ste 6
Chicago, IL 60629

6224 S Ashland Ave
Chicago, IL 60636
Phone (773) 778-8600

606 Potter Rd
Des Plaines, IL 60016
Phone (800) 570-8809

6400 Shafer Ct
Ste 300
Rosemont, IL 60018
Phone (800) 570-8809

6400 Shafer Ct
Ste 700
Rosemont, IL 60018

17855 Dallas Pkwy
Ste 200
Dallas, TX 75287
Phone (972) 201-3800

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1279152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644278400000",
    "number": "1073826327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 SHAFER CT STE 700",
            "city": "ROSEMONT",
            "state": "IL",
            "postal_code": "600184989",
            "telephone_number": "847-692-1000",
            "fax_number": "224-532-2780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6224 S ASHLAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606362324",
            "telephone_number": "773-778-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANDIT",
        "first_name": "ANANTA",
        "middle_name": "RAJ",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-15",
        "last_updated": "2022-02-08",
        "certification_date": "2022-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "125058793",
            "primary": true
        },
        {
            "code": "207RA0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Adolescent Medicine",
            "state": "IL",
            "license": "036.132209",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.