Active NPI
Anuja Maini, MD
- Pediatrics Physician
- Naperville, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 036111865
- Practice address
- 1020 E Ogden Ave Ste 201
Naperville, IL 60563-8610 - Phone
- (630) 369-4550
- Fax
- (630) 369-9762
- NPI assigned
- Jul 30, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 036111865 | IL | Primary |
Addresses
Primary practice location
1020 E Ogden Ave Ste 201
Naperville, IL 60563-8610
Mailing address
PO Box 713260
Chicago, IL 60677-1260
Phone (630) 469-9200
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| IL01T8 | Other | IL | JOHN DEERE |
| 0361118651 | Medicaid | IL | |
| 101008 | Other | IL | HEALTH ALLIANCE |
| 7215059 | Other | IL | BCBS PPO |
| 472310 | Other | IL | HEALTHLINK |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | amaini177048@dulyhealthandcare.direct-ci.com | Direct |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dupage Medical Group LTD | Current | Accepting new patients | |
| Dupage Medical Group LTD | Current | Accepting new patients | |
| Methodist Medical Center of Illinois | Pediatrics | Past | Accepting new patients |
Locations
30 Stratford Dr
Bloomingdale, IL 60108
Phone (630) 893-2210
1860 Paysphere Cir
Chicago, IL 60674
Phone (630) 469-2000
5207 Main St
Downers Grove, IL 60515
Phone (630) 435-9888
301 Madison St
Ste 120
Joliet, IL 60435
Phone (815) 725-2699
1020 E Ogden Ave
Ste 201
Naperville, IL 60563
Phone (630) 369-4550
1020 E Ogden Ave
Naperville, IL 60563
Phone (630) 369-8902
16519 S Route 59
Ste B
Plainfield, IL 60586
Phone (630) 893-8585
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.
-
dba DuPage Medical Group
- Multi-Specialty Clinic/Center
- Downers Grove, IL
- NPI 1801833983
-
- Durable Medical Equipment & Medical Supplies
- Glen Ellyn, IL
- NPI 1760979447
-
dba Methodist Medical Group
- Family Medicine Physician
- Peoria, IL
- NPI 1184670663
Pediatrics
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691625600000",
"number": "1649285206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 713260",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606771260",
"telephone_number": "630-469-9200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1020 E OGDEN AVE STE 201",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605638610",
"telephone_number": "630-369-4550",
"fax_number": "630-369-9762"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAINI",
"first_name": "ANUJA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-30",
"last_updated": "2023-08-10",
"certification_date": "2023-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IL",
"license": "036111865",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JOHN DEERE",
"identifier": "IL01T8",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0361118651",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH ALLIANCE",
"identifier": "101008",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PPO",
"identifier": "7215059",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK",
"identifier": "472310",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "amaini177048@dulyhealthandcare.direct-ci.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1020 E Ogden Ave Ste 201",
"city": "Naperville",
"state": "IL",
"country_code": "US",
"postal_code": "605638610",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Naperville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2023; 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.