Sushma Surapaneni Anand, D.O.
Individual provider Active NPI Obstetrics & Gynecology Physician · Lake Forest, IL
NPI 1285950352 · NPPES record last updated Feb 3, 2017
Key facts
- NPI
- 1285950352
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- 336.093651 (IL)
- Practice address
- 660 N Westmoreland Rd
Suite 302
Lake Forest, IL 60045-1659 - Phone
- (847) 926-0106
- NPI assigned
- Apr 14, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 18
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Obstetrics/Gynecology
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Northwestern Medical Faculty Foundation
Practice addresses (Care Compare)
660 N Westmoreland Rd
302 Lake Forest OBGYN
Lake Forest, IL 60045-1673
Phone (312) 926-6146
Hospital & facility affiliations
- Northwestern Lake Forest Hospital
- Northwestern Memorial Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140814000650 | IL | Practitioner - Obstetrics/Gynecology | 4789801705 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 336.093651 | IL | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advocate Health and Hospitals Corporation | Current |
Accepting new patients | |
| Advocate Health and Hospitals Corporation | Current |
Accepting new patients | |
| Northwestern Medical Faculty Foundation | Current |
Accepting new patients | |
| Northwestern Medical Faculty Foundation | Current |
Accepting new patients | |
| Central Dupage Physician Group | Past | Accepting new patients |
Locations
214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160
Dept 5777
Carol Stream, IL 60122
Carol Stream, IL 60122
Phone (630) 933-3300
680 N Lake Shore Dr
Ste 1000
Chicago, IL 60611
Phone (312) 695-4022
29373 Network Pl
Chicago, IL 60673
1275 E Belvidere Rd
Ste 250
Grayslake, IL 60030
Phone (847) 535-7057
900 N Westmoreland Rd
Ste 112
Lake Forest, IL 60045
Phone (847) 535-7057
660 N Westmoreland Rd
Ste 302
Lake Forest, IL 60045
Phone (847) 615-2229
660 N Westmoreland Rd
#302
Lake Forest, IL 60045
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 336.093651 | IL | Yes |
Addresses
Primary practice location
660 N Westmoreland Rd
Suite 302
Lake Forest, IL 60045-1659
Mailing address
660 N Westmoreland Rd
Suite 302
Lake Forest, IL 60045-1659
Phone (847) 926-0106
Other names
- Sushma Surapaneni
Other providers in Lake Forest, IL
- Wendy D. Allen
- Melina Mary Alm
- Alqaid PLLC
- Mohammed Sami Saleh Alzoubaidi
- American Drug Stores LLC
- Ancient Healing Oriental Medicine Clinic S.C.
- Sarah Anne Anderko
- Anderson Family Dentistry
- Christina Kaye Anderson
- John P Anderson
All providers in Lake Forest, IL · Obstetrics & Gynecology Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 3, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.