Individual provider Active NPI

Anat Lansky, MD

  • Internal Medicine Physician
  • Wilmette, IL
National Provider Identifier
1912040429
Registry record updated Jul 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036109511 Issued in IL
Practice address
1625 Sheridan Rd Ste a
Wilmette, IL 60091-1800
Phone
(847) 986-6770
NPI assigned
Feb 14, 2007
Last updated
Jul 29, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036109511 IL Primary

Addresses

Primary practice location

1625 Sheridan Rd Ste a
Wilmette, IL 60091-1800

Mailing address

710 Oak St
Winnetka, IL 60093-2522
Phone (847) 986-6770

Other practice location 1

710 Oak St
Winnetka, IL 60093-2522
Phone (847) 986-6770

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address alansky230166@direct.northshore.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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041013000619 IL Practitioner - Internal Medicine 7517927692 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dedication Health LLCGroup PAC ID 7810290699, 8 clinicians

Practice addresses (Care Compare)

710 Oak St
Winnetka, IL 60093-2522
Phone (847) 986-6770

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036109511ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Endeavor Health Medical Group CurrentSince Dec 1, 2011 Accepting new patients
Dedication Health LLC Internal Medicine CurrentSince Jun 9, 2022 Accepting new patients
Endeavor Health Medical Group Internal Medicine CurrentSince Dec 1, 2011 Accepting new patients

Locations

9532 Eagle Way
Chicago, IL 60678

49 S Waukegan Rd
Ste 200
Deerfield, IL 60015
Phone (847) 945-4575

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

2650 Ridge Ave
#1223
Evanston, IL 60201
Phone (847) 982-3172

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

71 Waukegan Rd
Ste 700
Lake Bluff, IL 60044
Phone (847) 295-1500

800 N Westmoreland Rd
Ste 100
Lake Forest, IL 60045
Phone (847) 535-6083

710 Oak St
Winnetka, IL 60093
Phone (847) 986-6770

Interoperability endpoints

  • Direct secure messaging: alansky230166@direct.northshore.org
  • Direct secure messaging: anat.lansky.1@13127.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/13127/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659052800000",
    "number": "1912040429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 OAK ST",
            "city": "WINNETKA",
            "state": "IL",
            "postal_code": "600932522",
            "telephone_number": "847-986-6770",
            "fax_number": "224-505-5960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 SHERIDAN RD STE A",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600911800",
            "telephone_number": "847-986-6770"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "710 Oak St",
            "address_purpose": "LOCATION",
            "city": "Winnetka",
            "state": "IL",
            "postal_code": "600932522",
            "country_code": "US",
            "telephone_number": "847-986-6770",
            "fax_number": "224-505-5960",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANSKY",
        "first_name": "ANAT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-14",
        "last_updated": "2022-07-29",
        "certification_date": "2022-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036109511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "alansky230166@direct.northshore.org",
            "affiliation": "N",
            "address_1": "800 N Westmoreland Rd",
            "address_2": "SUITE 100",
            "city": "Lake Forest",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600451673",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wilmette, IL

Sources for this page

Verify at the official NPI Registry.