Individual provider Active NPI

Ankur B Dave, D.O

  • Infectious Disease Physician
  • Palos Heights, IL
National Provider Identifier
1225327919
Registry record updated Dec 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
036.134219 Issued in IL
Practice address
7804 W College Dr Ste 1NW
Palos Heights, IL 60463-1025
Phone
(708) 361-5778
Fax
(708) 361-5631
NPI assigned
Apr 4, 2011
Last updated
Dec 23, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 036.134219 IL Primary

Addresses

Primary practice location

7804 W College Dr Ste 1NW
Palos Heights, IL 60463-1025

Mailing address

7804 W College Drive
Suite 1NW
Palos Heights, IL 60463
Phone (708) 361-5778

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address adave276120@direct.myadvocateaurora.org Direct
FHIR URL https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

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
I20140613001604 IL Practitioner - Internal Medicine 4284858218 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
West Virginia School of Osteopathic Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southwest Infectious Disease and Internal Medicine S CGroup PAC ID 3779555362, 11 clinicians

Practice addresses (Care Compare)

7804 W College Dr
Palos Heights, IL 60463-1025
Phone (708) 361-5778

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.134219ILMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Infectious Disease & Internal Medicine S C Infectious Disease CurrentSince Nov 18, 2017 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Jul 1, 2014 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Jul 1, 2014 Accepting new patients
John V. Kelly MD, PC PastSince Nov 18, 2017 Accepting new patients
Id Associates Limited Infectious Disease PastSince Dec 26, 2021 Accepting new patients

Locations

214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160

29373 Network Pl
Chicago, IL 60673

4220 W 95th St
Ste 200
Oak Lawn, IL 60453
Phone (708) 398-0287

7804 W College Dr
Palos Heights, IL 60463
Phone (708) 361-5778

7804 W College Dr
Ste 1N
Palos Heights, IL 60463
Phone (708) 361-5778

7804 W College Dr
Ste 1NW
Palos Heights, IL 60463
Phone (708) 361-5778

Interoperability endpoints

  • Direct secure messaging: adavedo237231@uchospital.direct-ci.com

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 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": "1301875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640217600000",
    "number": "1225327919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7804 W COLLEGE DRIVE",
            "address_2": "SUITE 1NW",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "60463",
            "telephone_number": "708-361-5778",
            "fax_number": "708-361-5631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7804 W COLLEGE DR STE 1NW",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631025",
            "telephone_number": "708-361-5778",
            "fax_number": "708-361-5631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVE",
        "first_name": "ANKUR",
        "middle_name": "B",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-04",
        "last_updated": "2021-12-23",
        "certification_date": "2021-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "IL",
            "license": "036.134219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "adave276120@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "7804 W College Dr Ste 1Nw",
            "city": "Palos Heights",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604631025",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "7804 W College Dr Ste 1Nw",
            "city": "Palos Heights",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604631025",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Palos Heights, IL

Sources for this page

Verify at the official NPI Registry.