Individual provider Active NPI

Anil Kumar Lamba, M.D.

  • Surgery Physician
  • Orland Park, IL
National Provider Identifier
1225013238
Registry record updated Sep 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
036053897 Issued in IL
Practice address
115 Singletree Rd
Orland Park, IL 60467-7338
Phone
(708) 403-9601
NPI assigned
Dec 13, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 036053897 IL Primary

Addresses

Primary practice location

115 Singletree Rd
Orland Park, IL 60467-7338

Mailing address

115 Singletree Rd
Orland Park, IL 60467-7338
Phone (708) 403-9601

Other practice location 1

14810 Cicero Ave
Oak Forest, IL 60452-1400
Phone (708) 535-0505

Other identifiers 2

IdentifierTypeStateIssuer
036053897MedicaidIL
F400292401OtherILSPECIALTY PHYSICIANS OF ILLINOIS, LLC ILLINOIS PTAN

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
I20070418000574 IL Practitioner - General Surgery 8224133343 Practice locations: Oak Forest, IL

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036053897ILMDSurgery Physician

NPI Registry JSON

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

{
    "created_epoch": "1134432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725840000000",
    "number": "1225013238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 SINGLETREE RD",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604677338",
            "telephone_number": "708-403-9601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 SINGLETREE RD",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604677338",
            "telephone_number": "708-403-9601"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14810 Cicero Ave",
            "address_purpose": "LOCATION",
            "city": "Oak Forest",
            "state": "IL",
            "postal_code": "604521400",
            "country_code": "US",
            "telephone_number": "708-535-0505",
            "fax_number": "708-535-9894",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAMBA",
        "first_name": "ANIL",
        "middle_name": "KUMAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-13",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": "036053897",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036053897",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECIALTY PHYSICIANS OF ILLINOIS, LLC ILLINOIS PTAN",
            "identifier": "F400292401",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orland Park, IL

Sources for this page

Verify at the official NPI Registry.