Active NPI
Anandita Goel Gephart, M.D.
- Internal Medicine Physician
- Elgin, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 036-094388
- Practice address
- 1975 Lin Lor LN
Suite 205
Elgin, IL 60123-4902 - Phone
- (847) 742-4111
- Fax
- (847) 742-4545
- NPI assigned
- Jul 27, 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036-094388 | IL | Primary |
Addresses
Primary practice location
1975 Lin Lor LN
Suite 205
Elgin, IL 60123-4902
Mailing address
1975 Lin Lor LN
Suite 205
Elgin, IL 60123-4902
Phone (847) 742-4111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036094388 | Medicaid | IL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | agephart48646@ce-direct.presencehealth.org |
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
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1041 W Stearns Rd
Bartlett, IL 60103-4509
Phone (630) 716-7500
1786 Moon Lake Blvd
Hoffman Est, IL 60194-5029
Phone (847) 755-8208
Hospital & facility affiliations
- Advocate Home Health Care Serv
- St Alexius Medical Center
- Saint Joseph Hospital-Elgin
- Advocate Sherman Hospital
- Alexian Brothers Medical Center 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-094388 | IL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bonaventure Medical Foundation, LLC | Current | Accepting new patients |
Locations
1325 N Highland Ave
Aurora, IL 60506
Phone (630) 801-2756
1041 W Stearns Rd
Bartlett, IL 60103
Phone (630) 372-9015
100 Provena Way
Ste 103
Bourbonnais, IL 60914
Phone (815) 937-8780
100 N River Rd
Des Plaines, IL 60016
Phone (847) 297-1800
1786 Moon Lake Blvd
Hoffman Estates, IL 60169
Phone (847) 640-5640
201 N Hammes Ave
Joliet, IL 60435
Phone (224) 273-6350
Interoperability endpoints
- anandita.gephart.1@380.direct.athenahealth.com
Organizations & group practices 1
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
- Elk Grove Village, IL
- NPI 1588775647
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Elgin, IL
- NPI 1629026364
-
- General Acute Care Hospital
- Elk Grove Village, IL
- NPI 1265577191
-
- Home Health Agency
- Oak Brook, IL
- NPI 1598732075
-
- General Acute Care Hospital
- Elgin, IL
- NPI 1922846351
-
- General Acute Care Hospital
- Hoffman Estates, IL
- NPI 1376644385
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602547200000",
"number": "1790709343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1975 LIN LOR LN",
"address_2": "SUITE 205",
"city": "ELGIN",
"state": "IL",
"postal_code": "601234902",
"telephone_number": "847-742-4111",
"fax_number": "847-742-4545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1975 LIN LOR LN",
"address_2": "SUITE 205",
"city": "ELGIN",
"state": "IL",
"postal_code": "601234902",
"telephone_number": "847-742-4111",
"fax_number": "847-742-4545"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEPHART",
"first_name": "ANANDITA",
"middle_name": "GOEL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-27",
"last_updated": "2020-10-13",
"certification_date": "2020-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036-094388",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036094388",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "agephart48646@ce-direct.presencehealth.org",
"affiliation": "N",
"address_1": "1975 Lin Lor Ln",
"address_2": "Suite 205",
"city": "Elgin",
"state": "IL",
"country_code": "US",
"postal_code": "601234902",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Elgin, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.