Active NPI
Ann Khimani, N.P.
- Family Nurse Practitioner
- Evanston, IL
National Provider Identifier
1821443623
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 209013647041395610
- Practice address
- 2650 Ridge Ave.
Department of Emergency Medicine
Evanston, IL 60201 - Phone
- (847) 570-2114
- NPI assigned
- Apr 28, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209013647041395610 | IL | Primary |
Addresses
Primary practice location
2650 Ridge Ave.
Department of Emergency Medicine
Evanston, IL 60201
Mailing address
2650 Ridge Ave.
Department of Emergency Medicine
Evanston, IL 60201
Phone (847) 570-2114
Other practice location 1
880 W Central Rd Ste 4100
Arlington Heights, IL 60005-2383
Phone (847) 618-4400
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 209013647 | Other | IL | STATE LICENSE |
| 2015009621 | Medicaid | IL |
Other names 1
- Ann L. Bendis
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | akhimani6659@direct.nch.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209013647041395610 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Endeavor Health Medical Group | Past | Accepting new patients |
Interoperability endpoints
- akhimani6659@direct.nch.org
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.
-
- Emergency Medicine Physician
- Evanston, IL
- NPI 1497701882
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461801600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621814400000",
"number": "1821443623",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2650 RIDGE AVE.",
"address_2": "DEPARTMENT OF EMERGENCY MEDICINE",
"city": "EVANSTON",
"state": "IL",
"postal_code": "60201",
"telephone_number": "847-570-2114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2650 RIDGE AVE.",
"address_2": "DEPARTMENT OF EMERGENCY MEDICINE",
"city": "EVANSTON",
"state": "IL",
"postal_code": "60201",
"telephone_number": "847-570-2114"
}
],
"practiceLocations": [
{
"address_1": "880 W Central Rd Ste 4100",
"address_purpose": "LOCATION",
"city": "Arlington Heights",
"state": "IL",
"postal_code": "600052383",
"country_code": "US",
"telephone_number": "847-618-4400",
"fax_number": "847-618-4409",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KHIMANI",
"first_name": "ANN",
"name_prefix": "Ms.",
"credential": "N.P.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-04-28",
"last_updated": "2021-05-24",
"certification_date": "2021-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209013647041395610",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "209013647",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2015009621",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "akhimani6659@direct.nch.org",
"affiliation": "N",
"address_1": "880 W Central Rd Ste 4100",
"city": "Arlington Heights",
"state": "IL",
"country_code": "US",
"postal_code": "600052383",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "ANN",
"last_name": "BENDIS",
"middle_name": "L.",
"credential": "N.P.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Evanston, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.