Imaan Ansari, M.D.
Individual provider Active NPI Obstetrics & Gynecology Physician · Chicago, IL
NPI 1972034304 · NPPES record last updated Sep 8, 2023
Key facts
- NPI
- 1972034304
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- 036155637 (IL)
- Practice address
- 3000 N Halsted St Ste 309
Chicago, IL 60657-5190 - Phone
- (773) 296-3300
- NPI assigned
- Mar 27, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Obstetrics/Gynecology
- Education
- Medical College of Wisconsin, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Advocate Health and Hospitals Corporation
Practice addresses (Care Compare)
3000 N Halsted St
Suite 309
Chicago, IL 60657-5190
Phone (773) 296-3300
Hospital & facility affiliations
- Advocate Illinois Masonic Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230721001609 | IL | Practitioner - Obstetrics/Gynecology | 6608147137 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036155637 | IL | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advocate Health and Hospitals Corporation | Current | Accepting new patients | |
| Advocate Health and Hospitals Corporation | Current |
Accepting new patients | |
| Advocate Health and Hospitals Corporation | Current |
Accepting new patients |
Locations
214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160
3000 N Halsted St
Ste 309
Chicago, IL 60657
Phone (773) 296-3300
29373 Network Pl
Chicago, IL 60673
836 W Wellington Ave
Chicago, IL 60657
Phone (773) 296-7054
Interoperability endpoints
- iansari215721@direct.myadvocateaurora.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 036155637 | IL | Yes |
Addresses
Primary practice location
3000 N Halsted St Ste 309
Chicago, IL 60657-5190
Mailing address
29373 Network PL
Chicago, IL 60673-1670
Phone (847) 390-5900
Other practice location 1
836 W Wellington Ave
Chicago, IL 60657-5147
Phone (773) 975-1600
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | iansari215721@direct.myadvocateaurora.org | Direct | |
| FHIR URL | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ |
Other providers in Chicago, IL
- Anpt LLC
- Emmanuel Nyamekye Ansah
- Anuj Ansal
- Ashish Mani Ansal
- Abdullah Ansari
- Kashifa Ansari
- Khalil Arshad Ansari
- Mohammed Javeed I Ansari
- Nasreen N Ansari
- Sajid Qamar Ansari
All providers in Chicago, IL · Obstetrics & Gynecology Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 8, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.