Active NPI
Ana D Gavrilovici, M.D.
- Family Medicine Physician
- Lincolnwood, IL
National Provider Identifier
1144220864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 036-099746
- Practice address
- 6400 N Keating Ave
Lincolnwood, IL 60712-3411 - Phone
- (847) 568-1500
- Fax
- (847) 568-1511
- NPI assigned
- Jul 22, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 036-099746 | IL | Primary |
Addresses
Primary practice location
6400 N Keating Ave
Lincolnwood, IL 60712-3411
Mailing address
6400 N Keating Ave
Lincolnwood, IL 60712-3411
Phone (847) 568-1500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036099746 | Medicaid | IL |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080709000666 | IL | Practitioner - Family Practice | 4688746571 | Practice locations: Chicago, IL; Evanston, IL; Lincolnwood, IL |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1996
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
6400 N Keating Ave
Lincolnwood, IL 60712-3411
Phone (847) 568-1500
Hospital & facility affiliations
- Aster Home Health Services, LLC
- Swedish Hospital
- Northshore University Healthsystem - Evanston Hospital
- Saint Francis Hospital-Evanston
- Advocate Lutheran General Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of skin lesions | 14 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-099746 | IL | MD | Family Medicine Physician |
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Advocate Lutheran General Hospital
- General Acute Care Hospital
- Park Ridge, IL
- NPI 1164539730
-
- Home Health Agency
- Chicago, IL
- NPI 1770884819
-
dba Endeavor Health Evanston Hospital
- General Acute Care Hospital
- Evanston, IL
- NPI 1184670549
-
- General Acute Care Hospital
- Evanston, IL
- NPI 1982442398
-
dba Endeavor Health Swedish Hospital
- General Acute Care Hospital
- Chicago, IL
- NPI 1831151257
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348617600000",
"number": "1144220864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6400 N KEATING AVE",
"city": "LINCOLNWOOD",
"state": "IL",
"postal_code": "607123411",
"telephone_number": "847-568-1500",
"fax_number": "847-568-1511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6400 N KEATING AVE",
"city": "LINCOLNWOOD",
"state": "IL",
"postal_code": "607123411",
"telephone_number": "847-568-1500",
"fax_number": "847-568-1511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAVRILOVICI",
"first_name": "ANA",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-07-22",
"last_updated": "2012-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036-099746",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036099746",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lincolnwood, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.