Individual provider Active NPI

Anita Durga, D.O

  • Physical Medicine & Rehabilitation Physician
  • Naperville, IL
National Provider Identifier
1144372129
Registry record updated Sep 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
036-112327 Issued in IL
Practice address
2604 Sheehan CT Unit 102
Naperville, IL 60564-4737
Phone
(630) 747-6241
Fax
(888) 975-0206
NPI assigned
Jan 18, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 49802 WI
Physical Medicine & Rehabilitation Physician 208100000X 036-112327 IL Primary

Addresses

Primary practice location

2604 Sheehan CT Unit 102
Naperville, IL 60564-4737

Mailing address

2604 Sheehan CT Unit 102
Naperville, IL 60564-4737
Phone (630) 747-6241

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
I20080829000441 IL Practitioner - Internal MedicinePractitioner - Physical Medicine and Rehabilitation 6103992060 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-112327ILMDPhysical Medicine & Rehabilitation Physician
49802WIMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anita Durga Rehabilitation LLC Physical Medicine & Rehabilitation CurrentSince Jan 17, 2016 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599782400000",
    "number": "1144372129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2604 SHEEHAN CT UNIT 102",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605644737",
            "telephone_number": "630-747-6241",
            "fax_number": "888-975-0206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2604 SHEEHAN CT UNIT 102",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605644737",
            "telephone_number": "630-747-6241",
            "fax_number": "888-975-0206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURGA",
        "first_name": "ANITA",
        "name_prefix": "Dr.",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-18",
        "last_updated": "2020-09-11",
        "certification_date": "2020-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "WI",
            "license": "49802",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IL",
            "license": "036-112327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

Verify at the official NPI Registry.