Ania Jacqueline Aniol
Individual provider Active NPI Psychiatry Physician · Ottawa, IL
NPI 1689170003 · NPPES record last updated Nov 4, 2022
Key facts
- NPI
- 1689170003
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- 036.160145 (IL)
- Practice address
- 1100 E Norris Dr
Ottawa, IL 61350-1604 - Phone
- (815) 433-3100
- NPI assigned
- Apr 4, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Psychiatry
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Mark David Levine MD Professional Corporation
Practice addresses (Care Compare)
2001 Wilshire Blvd
Suite 320
Santa Monica, CA 90403-5683
Phone (855) 501-1004
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240919002731 | CA | Practitioner - Psychiatry | 6608122924 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.160145 | IL | MD | Psychiatry Physician |
Practice roles (2 of 3)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mark David Levine, MD Burlingame PC | Psychiatry | Current |
Accepting new patients |
| Mark David Levine M.D. Professional Corporation | Psychiatry | Current |
Accepting new patients |
Locations
4553 Glencoe Ave
Ste 315
Marina del Rey, CA 90292
2001 Wilshire Blvd
Ste 320
Santa Monica, CA 90403
Phone (310) 566-2006
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Psychiatry Physician | 2084P0800X | 036.160145 | IL | Yes |
Addresses
Primary practice location
1100 E Norris Dr
Ottawa, IL 61350-1604
Mailing address
3901 Chrysler Dr RM 5-a
Detroit, MI 48201-2167
Other providers in Ottawa, IL
- Samantha Jean Alvarado
- Amar L Dave
- Amit Garg LTD.
- Drew Rodney Anderson
- Ken Anderson
- Angela Annarino
- Melchor Paulo A Aranas
- Janell Kristin Armstrong
- Tasha Marie Arteaga
- Arukah Institute of Healing Inc NFP
All providers in Ottawa, IL · Psychiatry Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 4, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.