Anna Melissa De Jesus Pacis, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036125244 Issued in IL

Practice address

1890 Silver Cross Blvd Ste 570
New Lenox, IL 60451-9606

Phone

(815) 463-3700

NPI assigned

Jun 16, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Family PracticeAlso: Obstetrics/Gynecology

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Candr Medical Group SCGroup PAC ID 0143387431, 9 clinicians

Select Rehabilitation, LLCGroup PAC ID 9032020490, 1,935 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Silver Cross Home Health Home health agency, New Lenox, IL, CCN 147452
• Newsome Home Health Care & Purpose Care of Illinois - Joliet Home health agency, Joliet, IL, CCN 148208
• Silver Cross Hospital and Medical Centers Hospital, New Lenox, IL, CCN 140213
• Loyola University Medical Center Hospital, Maywood, IL, CCN 140276

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: anna.pacis@crg.eclinicaldirectplus.com
• Direct secure messaging: anna.melissa.pacis.1@34039.direct.athenahealth.com

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.

• C&R Medical Group SC

  • Family Medicine Physician
  • New Lenox, IL
  • NPI 1487854006
  Medicare reassignment Care Compare group NPD
• Avaya Therapy, LTD

  • Family Medicine Physician
  • Rosemont, IL
  • NPI 1447808712
  Medicare reassignment NPD
• Select Rehabilitation, LLC

  • Rehabilitation Clinic/Center
  • Glenview, IL
  • NPI 1346368248
  Care Compare group
• Alqaim Medical Associates Inc

  • General Practice Physician
  • Orland Park, IL
  • NPI 1932961240
  NPD (past)
• San Pablo Medical Center, LTD.

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1548323330
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Loyola University Medical Center

  • General Acute Care Hospital
  • Maywood, IL
  • NPI 1376521575
  Care Compare affiliation
• Loyola University Medical Center

  • General Acute Care Hospital
  • Tinley Park, IL
  • NPI 1427752013
  Care Compare affiliation
• Peak Home Health Care, LLC

  • Home Health Agency
  • Joliet, IL
  • NPI 1740592336
  Care Compare affiliation
• Silver Cross Hospital & Medical Centers

  • Rehabilitation Hospital Unit
  • New Lenox, IL
  • NPI 1003933797
  Care Compare affiliation
• Silver Cross Hospital & Medical Centers

  • Home Health Agency
  • New Lenox, IL
  • NPI 1265558852
  Care Compare affiliation
• Silver Cross Hospital & Medical Centers

  • General Acute Care Hospital
  • New Lenox, IL
  • NPI 1568553519
  Care Compare affiliation

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

{
    "created_epoch": "1276646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572912000000",
    "number": "1891016580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1890 SILVER CROSS BLVD STE 570",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604519606",
            "telephone_number": "815-463-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1890 SILVER CROSS BLVD STE 570",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604519606",
            "telephone_number": "815-463-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACIS",
        "first_name": "ANNA MELISSA",
        "middle_name": "DE JESUS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-16",
        "last_updated": "2019-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036125244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Otto
• Kortney Ouverson
• Over the Moon Pediatric Therapy Co
• Courtney Owens
• Jessica Catherine Oyoung
• Arlene Angela Paden, M.D.
• Samantha Taylor Pagana, LPC
• Christopher David Pagliarulo, PT
• Aparna U. Pai, M.D.
• Pain Management Associates USA

• Family Medicine Physician in New Lenox, IL
• Providers in New Lenox, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2019; 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.

Verify at the official NPI Registry.