Anand M Thakkar, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036-112261 Issued in IL

Practice address

1601 Tanglewood Ave
Suite 105
Hanover Park, IL 60133-3381

Phone

(630) 289-0440

Fax

(630) 289-0442

NPI assigned

May 15, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Anand M Satyadev Former name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Suburban Medical Clinic LLC

  • Internal Medicine Physician
  • Hanover Park, IL
  • NPI 1386945319
  Medicare reassignment NPD Authorized official
• Northwest Chicago Urgent Care SC

  • General Practice Physician
  • Morton Grove, IL
  • NPI 1508533266
  Medicare reassignment NPD
• Northwest Morton Grove SC

  • Primary Care Clinic/Center
  • Morton Grove, IL
  • NPI 1023723087
  NPD Authorized official
• Suburban Home Physicians,LLC

  • Internal Medicine Physician
  • Schaumburg, IL
  • NPI 1770722407
  NPD (past)

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511308800000",
    "number": "1336190040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1802 IRVING PARK RD",
            "city": "HANOVER PARK",
            "state": "IL",
            "postal_code": "601333254",
            "telephone_number": "630-289-0440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 TANGLEWOOD AVE",
            "address_2": "SUITE 105",
            "city": "HANOVER PARK",
            "state": "IL",
            "postal_code": "601333381",
            "telephone_number": "630-289-0440",
            "fax_number": "630-289-0442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAKKAR",
        "first_name": "ANAND",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-15",
        "last_updated": "2017-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036-112261",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036-112261-2",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANAND",
            "last_name": "SATYADEV",
            "middle_name": "M",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Suburban Urgent Care LLC
• Symphony Hanover Park LLC
• Keiki Taguchi
• Roy Jonson Tan, P.T
• Tek Xperts LLC
• Suzette Thomsen
• James B Thomson, LCPC
• Lizbeth Angeles Trevino
• Patsy Tucker
• Anupam Verma

• Internal Medicine Physician in Hanover Park, IL
• Providers in Hanover Park, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2017; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.