Anjitha Thomas, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

085-003425 Issued in IL

Practice address

245 S Gary Ave Ste 207
Bloomingdale, IL 60108-2218

Phone

(630) 893-9661

Fax

(877) 780-5145

NPI assigned

Dec 21, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Previously, effective Sep 6, 2024 through Sep 6, 2026

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: advancedintegrativehealthcare.anjithathomas@139901.advancedmd-direct.com

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.

• Family Doctor'S of Dupage, S.C.

  • Primary Care Clinic/Center
  • Bloomingdale, IL
  • NPI 1003010554
  NPD (past)

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

{
    "created_epoch": "1261353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620691200000",
    "number": "1528397668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 S GARY AVE STE 207",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601082218",
            "telephone_number": "630-893-9661",
            "fax_number": "877-780-5145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 S GARY AVE STE 207",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601082218",
            "telephone_number": "630-893-9661",
            "fax_number": "877-780-5145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "ANJITHA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-21",
        "last_updated": "2021-05-11",
        "certification_date": "2021-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IL",
            "license": "085-003425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sanjana Thakkar
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• George Fredrick Thies, R.PH.
• Jacqueline A Thompson-Fernandez, DDS
• Amie Lee Thompson
• Gabriela Tkacz, MD
• Nicolas Steven Tolia
• Tom J Miller DDS PC

• Medical Physician Assistant in Bloomingdale, IL
• Providers in Bloomingdale, IL by specialty
• Medical Physician Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.