Active NPI
Annie Y F Lai, MD
- Family Medicine Physician
- Glen Ellyn, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 036111580
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 54678 | CA | MD | Family Medicine Physician |
| 036111580 | IL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthcare Partners Affiliates Medical Group | Current | Accepting new patients | |
| Healthcare Partners Affiliates Medical Group | Family Medicine | Current | Accepting new patients |
| Central Dupage Physician Group | Current | Accepting new patients | |
| Central Dupage Physician Group | Family Medicine | Current | 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
- 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.
-
dba Northwestern Medicine Regional Medical Group
- Family Medicine Physician
- Carol Stream, IL
- NPI 1033149844
-
dba Optum
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1659312593
Family Medicine
-
dba Northwestern Medicine Regional Medical Group
- Orthopaedic Surgery Physician
- Geneva, IL
- NPI 1780012344
-
dba Optum
- Durable Medical Equipment & Medical Supplies
- Murrieta, CA
- NPI 1760057269
-
- Durable Medical Equipment & Medical Supplies
- Phoenix, AZ
- NPI 1255523643
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Northwestern Medicine Central Dupage Hospital
- General Acute Care Hospital
- Winfield, IL
- NPI 1003864810
-
dba Northwestern Medicine Central Dupage Hospital
- Psychiatric Hospital Unit
- Winfield, IL
- NPI 1740230895
-
dba Northwestern Medicine Delnor Community Hospital
- General Acute Care Hospital
- Geneva, IL
- NPI 1407859655
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.