Active NPI
Ajitha Antony, M.D.
- Hospitalist Physician
- Crown Point, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 036115759
- Practice address
- 12750 Saint Francis Dr
Crown Point, IN 46307-0264 - Phone
- (219) 757-6005
- Fax
- (219) 681-6823
- NPI assigned
- Aug 5, 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 01096558A | IN | |
| Pediatrics Physician | 208000000X | 036115759 | IL | |
| Pediatrics Physician | 208000000X | 01096558A | IN | |
| Hospitalist Physician | 208M00000X | 036115759 | IL | Primary |
Addresses
Primary practice location
12750 Saint Francis Dr
Crown Point, IN 46307-0264
Mailing address
801 S Washington St
Naperville, IL 60540-7430
Phone (630) 527-5197
Other practice location 1
801 S Washington St
Naperville, IL 60540-7430
Phone (630) 527-5197
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2220936 | Other | IL | BCBS |
| 036115759 1 | Medicaid | IL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | aantony17116@direct.edward.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Endeavor Health Medical Group | Current | Accepting new patients | |
| Franciscan Physician Network | Current | Accepting new patients | |
| Franciscan Physician Network | Current | Accepting new patients | |
| Endeavor Health Medical Group | Pediatrics | Current | Accepting new patients |
| Edward Health Ventures | Past | Accepting new patients | |
| Edward Health Ventures | Past | Accepting new patients | |
| Edward Health Ventures | Past | Accepting new patients | |
| Edward Health Ventures | Past | Accepting new patients | |
| Edward Health Ventures | Past | Accepting new patients | |
| Edward Health Ventures | Pediatrics | Past | Accepting new patients |
| Edward Health Ventures | Hospitalist | Past | Accepting new patients |
Locations
9532 Eagle Way
Chicago, IL 60678
2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206
2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222
801 S Washington St
Naperville, IL 60540
Phone (312) 355-0450
1704 Lafayette Rd
Ste 4
Crawfordsvlle, IN 47933
Phone (765) 364-3120
12750 Saint Francis Dr
Crown Point, IN 46307
Phone (219) 738-2100
150 W Washington St
Shelbyville, IN 46176
Phone (317) 392-3211
Interoperability endpoints
- aantony17116@direct.edward.org
Organizations & group practices 11
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.
-
- Family Medicine Physician
- Indianapolis, IN
- NPI 1225327984
-
- Clinic/Center
- Lafayette, IN
- NPI 1992543250
-
- Anesthesiology Physician
- Evanston, IL
- NPI 1265695944
-
- Family Medicine Physician
- Naperville, IL
- NPI 1154371185
-
- Psychiatry Physician
- Plainfield, IL
- NPI 1225108251
-
- Child & Adolescent Psychiatry Physician
- Naperville, IL
- NPI 1245281724
-
- Pediatrics Physician
- Naperville, IL
- NPI 1346291838
-
- Psychiatry Physician
- Naperville, IL
- NPI 1568413995
-
- Psychiatry Physician
- Naperville, IL
- NPI 1992862114
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781481600000",
"number": "1700895273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 S WASHINGTON ST",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605407430",
"telephone_number": "630-527-5197",
"fax_number": "630-527-5197"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12750 SAINT FRANCIS DR",
"city": "CROWN POINT",
"state": "IN",
"postal_code": "463070264",
"telephone_number": "219-757-6005",
"fax_number": "219-681-6823"
}
],
"practiceLocations": [
{
"address_1": "801 S Washington St",
"address_purpose": "LOCATION",
"city": "Naperville",
"state": "IL",
"postal_code": "605407430",
"country_code": "US",
"telephone_number": "630-527-5197",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ANTONY",
"first_name": "AJITHA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-05",
"last_updated": "2026-06-15",
"certification_date": "2026-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "IN",
"license": "01096558A",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IL",
"license": "036115759",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IN",
"license": "01096558A",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "IL",
"license": "036115759",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "2220936",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036115759 1",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "aantony17116@direct.edward.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "801 S Washington St",
"city": "Naperville",
"state": "IL",
"country_code": "US",
"postal_code": "605407430",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Crown Point, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2026; 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.