Individual provider Active NPI

Annie Y F Lai, MD

  • Family Medicine Physician
  • Glen Ellyn, IL
National Provider Identifier
1578599262
Registry record updated Jul 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036111580 Issued in IL
Practice address
885 Roosevelt Rd Ste 100
Glen Ellyn, IL 60137-6141
Phone
(303) 846-2006
NPI assigned
Jun 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036111580 IL Primary
Family Medicine Physician 207Q00000X 54678 CA

Addresses

Primary practice location

885 Roosevelt Rd Ste 100
Glen Ellyn, IL 60137-6141

Mailing address

885 Roosevelt Rd Ste 100
Glen Ellyn, IL 60137-6141
Phone (630) 384-6200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050222000756 IL Practitioner - Family Practice 8325091010 Reassigns benefits to 1 organization
I20150824002566 CA Practitioner - Family Practice 8325091010 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Central Dupage Physician GroupGroup PAC ID 5890696231, 1,087 clinicians

Practice addresses (Care Compare)

885 Roosevelt Rd
Glen Ellyn, IL 60137-6141
Phone (630) 545-3760

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
54678CAMDFamily Medicine Physician
036111580ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthcare Partners Affiliates Medical Group CurrentSince Jul 27, 2015 Accepting new patients
Healthcare Partners Affiliates Medical Group Family Medicine CurrentSince Jul 27, 2015 Accepting new patients
Central Dupage Physician Group CurrentSince Nov 1, 2023 Accepting new patients
Central Dupage Physician Group Family Medicine CurrentSince Nov 1, 2023 Accepting new patients
Memorial Medical Group Inc Past Accepting new patients

Locations

824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706

2601 Via Campo
Montebello, CA 90640
Phone (323) 720-1144

2603 Via Campo
Montebello, CA 90640
Phone (323) 720-1144

601 Torrance Blvd
#1182
Redondo Beach, CA 90277

233 S Gary Ave
Bloomingdale, IL 60108
Phone (630) 208-6775

Dept 5777
Carol Stream, IL 60122

Carol Stream, IL 60122
Phone (630) 933-3300

351 Delnor Dr
Ste 100
Geneva, IL 60134
Phone (630) 938-9900

885 Roosevelt Rd
Glen Ellyn, IL 60137
Phone (630) 545-3760

885 Roosevelt Rd
Ste 100
Glen Ellyn, IL 60137
Phone (630) 384-6200

660 N Westmoreland Rd
#302
Lake Forest, IL 60045

2900 Foxfield Rd
Ste 307
St Charles, IL 60174
Phone (630) 208-3200

7 Blanchard Cir
Ste 200
Wheaton, IL 60189
Phone (630) 510-9009

1800 N Main St
Wheaton, IL 60187
Phone (630) 469-0045

2001 N Gary Ave
Ste 110
Wheaton, IL 60187
Phone (630) 614-4100

7 Blanchard Cir
Ste 206
Wheaton, IL 60189
Phone (630) 653-0848

Interoperability endpoints

  • Direct secure messaging: alai548724@direct.uclahealth.org

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1151107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657065600000",
    "number": "1578599262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "885 ROOSEVELT RD STE 100",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601376141",
            "telephone_number": "630-384-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "885 ROOSEVELT RD STE 100",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601376141",
            "telephone_number": "303-846-2006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAI",
        "first_name": "ANNIE",
        "middle_name": "Y F",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-24",
        "last_updated": "2022-07-06",
        "certification_date": "2022-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036111580",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "54678",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Ellyn, IL

Sources for this page

Verify at the official NPI Registry.