Individual provider Active NPI

Jovita C Anyanwu, M.D.

  • Internal Medicine Physician
  • Orland Park, IL
National Provider Identifier
1629136551
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036096774 Issued in IL
Practice address
16734 Steeplechase Pkwy
Orland Park, IL 60467-5890
Phone
(708) 256-8886
NPI assigned
Dec 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036096774 IL Primary

Addresses

Primary practice location

16734 Steeplechase Pkwy
Orland Park, IL 60467-5890

Mailing address

16734 Steeplechase Pkwy
Orland Park, IL 60467-5890
Phone (708) 256-8886

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20040506000467 IL Practitioner - Family PracticePractitioner - Internal Medicine 1456349422

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036096774ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kankakee Urgent Care Past Accepting new patients
Hope Health Services Inc. PastSince Jun 1, 2009 Accepting new patients
Solid Rock Care Center II Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629136551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16734 STEEPLECHASE PKWY",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604675890",
            "telephone_number": "708-256-8886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16734 STEEPLECHASE PKWY",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604675890",
            "telephone_number": "708-256-8886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANYANWU",
        "first_name": "JOVITA",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036096774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orland Park, IL

Sources for this page

Verify at the official NPI Registry.