Individual provider Active NPI

Lakshmi Anubrolu, MD

  • Internal Medicine Physician
  • Morris, IL
National Provider Identifier
1083683700
Registry record updated Dec 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036.113201 Issued in IL
Practice address
150 W High St
Morris, IL 60450-1497
Phone
(815) 942-2932
Fax
(815) 416-6097
NPI assigned
Mar 15, 2006
Last updated
Dec 21, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 036113201 IL
Internal Medicine Physician 207R00000X 036.113201 IL Primary

Addresses

Primary practice location

150 W High St
Morris, IL 60450-1497

Mailing address

725 School St Ste a
Morris, IL 60450-1207
Phone (815) 941-9124

Other practice location 1

3S721 West Ave Ste 300
Warrenville, IL 60555-3262
Phone (630) 505-0300

Other practice location 2

2025 South Chicago Street
joliet, IL 60436-3172
Phone (815) 726-2200

Other identifiers 3

IdentifierTypeStateIssuer
036113201MedicaidIL
P00452387OtherILRR MEDICARE
036089724MedicaidIL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051024000243 IL Practitioner - Internal Medicine 8628094141 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
24 On Physicians PCGroup PAC ID 5698688141, 274 clinicians
Prime Healthcare Illinois Medical Group LLCGroup PAC ID 5597275685, 278 clinicians

Practice addresses (Care Compare)

1100 E Norris Dr
Ottawa, IL 61350-1604
Phone (815) 431-5380

1325 N Highland Ave
Aurora, IL 60506-1449
Phone (630) 859-2222

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036113201ILMDSpecialist
036.113201ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prime Healthcare Illinois Medical Group LLC Specialist CurrentSince Jun 26, 2025 Accepting new patients
24 On Physicians, PC CurrentSince Nov 20, 2023 Accepting new patients
Morris Hospital CurrentSince Jul 1, 2009 Accepting new patients
Altea Medical Illinois PLLC Internal Medicine CurrentSince Apr 11, 2024 Accepting new patients
Morris Hospital CurrentSince Jul 1, 2009 Accepting new patients
Central PA Pharmacy LLC. Current Accepting new patients
Kane Physician Services, P.C. Internal Medicine CurrentSince Nov 5, 2024 Accepting new patients
Morris Hospital Current Accepting new patients
Post Acute Medical PLLC Internal Medicine CurrentSince Apr 11, 2024 Accepting new patients
24 On Physicians, P.C. CurrentSince Nov 20, 2023 Accepting new patients
Osf Multi-Specialty Group Internal Medicine CurrentSince Mar 24, 2025 Accepting new patients

Locations

400 E Rivulon Blvd
Ste 103
Gilbert, AZ 85297

1801 W Olympic Blvd
#2636
Pasadena, CA 91199

1325 N Highland Ave
Aurora, IL 60506
Phone (630) 801-2756

100 Provena Way
Ste 103
Bourbonnais, IL 60914
Phone (815) 937-8780

389 E Main St
Braidwood, IL 60408
Phone (815) 458-2532

490 W 16th Pl
Chicago Hts, IL 60411
Phone (708) 481-4444

100 N River Rd
Des Plaines, IL 60016
Phone (847) 297-1800

3354 Jerome Ln
East Saint Louis, IL 62206
Phone (618) 337-9400

77 N Airlite St
Elgin, IL 60123
Phone (847) 622-3407

1101 E State St
Geneva, IL 60134
Phone (630) 232-7544

201 N Hammes Ave
Joliet, IL 60435
Phone (224) 273-6350

900 W River Pl
Kankakee, IL 60901
Phone (815) 933-1711

580 Sycamore St
Marseilles, IL 61341
Phone (815) 795-2122

150 W High St
Morris, IL 60450
Phone (815) 942-2129

725 School St
Ste A
Morris, IL 60450

1100 E Norris Dr
Ottawa, IL 61350
Phone (815) 416-1224

1420 W Pioneer Pkwy
Peoria, IL 61615
Phone (309) 308-5195

8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050

555 W Carpenter St
Springfield, IL 62702
Phone (217) 525-1880

Organizations & group practices 11

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 6

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": "1142380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608508800000",
    "number": "1083683700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 SCHOOL ST STE A",
            "city": "MORRIS",
            "state": "IL",
            "postal_code": "604501207",
            "telephone_number": "815-941-9124",
            "fax_number": "815-941-4363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 W HIGH ST",
            "city": "MORRIS",
            "state": "IL",
            "postal_code": "604501497",
            "telephone_number": "815-942-2932",
            "fax_number": "815-416-6097"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3S721 West Ave Ste 300",
            "address_purpose": "LOCATION",
            "city": "Warrenville",
            "state": "IL",
            "postal_code": "605553262",
            "country_code": "US",
            "telephone_number": "630-505-0300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2025 SOUTH CHICAGO STREET",
            "address_purpose": "LOCATION",
            "city": "joliet",
            "state": "IL",
            "postal_code": "604363172",
            "country_code": "US",
            "telephone_number": "815-726-2200",
            "fax_number": "815-727-1442",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANUBROLU",
        "first_name": "LAKSHMI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-15",
        "last_updated": "2020-12-21",
        "certification_date": "2020-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IL",
            "license": "036113201",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036.113201",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036113201",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00452387",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036089724",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morris, IL

Sources for this page

Verify at the official NPI Registry.