Individual provider Active NPI

Anne T Gearhart, M.D.

  • Pediatrics Physician
  • Chicago, IL
National Provider Identifier
1699949263
Registry record updated Jun 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
036-081975 Issued in IL
Practice address
2307 S Cicero Ave
Chicago, IL 60804
Phone
(708) 780-9777
Fax
(708) 780-9787
NPI assigned
Apr 15, 2008
Last updated
Jun 4, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 036-081975 IL Primary

Addresses

Primary practice location

2307 S Cicero Ave
Chicago, IL 60804

Mailing address

2307 S Cicero Ave
Chicago, IL 60804-2451
Phone (708) 780-9777

Other practice location 1

800 E 55th St
Chicago, IL 60615-4906
Phone (773) 702-0660

Other names 1

  • Dr. Anne G. Frye Former name

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
I20120427000091 IL Practitioner - Pediatric Medicine 5991967515 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-081975ILMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Friend Family Health Center Inc CurrentSince Feb 20, 2018 Accepting new patients
Friend Family Health Center Inc Current Accepting new patients
Access Community Health Network CurrentSince Nov 15, 2011 Accepting new patients
Access Community Health Network CurrentSince Nov 15, 2011 Accepting new patients
Friend Family Health Center, Inc CurrentSince Feb 20, 2018 Accepting new patients
Access Community Health Network Current Accepting new patients

Locations

1522 E 63rd St
Chicago, IL 60637
Phone (773) 795-2260

600 W Fulton St
Chicago, IL 60661
Phone (312) 526-2200

800 E 55th St
Chicago, IL 60615
Phone (773) 702-2193

2307 S Cicero Ave
Cicero, IL 60804
Phone (708) 780-9777

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1208217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528070400000",
    "number": "1699949263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2307 S CICERO AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "608042451",
            "telephone_number": "708-780-9777",
            "fax_number": "708-780-9787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2307 S CICERO AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60804",
            "telephone_number": "708-780-9777",
            "fax_number": "708-780-9787"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 E 55th St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606154906",
            "country_code": "US",
            "telephone_number": "773-702-0660",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GEARHART",
        "first_name": "ANNE",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-15",
        "last_updated": "2018-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036-081975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNE",
            "last_name": "FRYE",
            "middle_name": "G.",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.