Individual provider Active NPI

Anshu Anish Raj, M.D

  • Internal Medicine Physician
  • Skokie, IL
National Provider Identifier
1972771848
Registry record updated Mar 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036104375 Issued in IL
Practice address
9955 Karlov Ave
Skokie, IL 60076-1117
Phone
(847) 677-1122
Fax
(847) 677-7382
NPI assigned
Feb 13, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2021

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 036104375 IL Primary

Addresses

Primary practice location

9955 Karlov Ave
Skokie, IL 60076-1117

Mailing address

9955 Karlov Ave
Skokie, IL 60076-1117
Phone (847) 677-1122

Other practice location 1

800 Austin St Ste 505
Evanston, IL 60202-3439
Phone (847) 733-1495

Other identifiers 1

IdentifierTypeStateIssuer
036104375MedicaidIL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address araj6816@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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051014000068 IL Practitioner - Internal Medicine 7618992074 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prime Healthcare Illinois Medical Group LLCGroup PAC ID 5597275685, 278 clinicians

Practice addresses (Care Compare)

100 N River Rd
Des Plaines, IL 60016-1209
Phone (847) 297-1800

355 Ridge Ave
Evanston, IL 60202-3328
Phone (847) 316-4000

800 Austin St
Evanston, IL 60202-3454

800 Austin St
Suite 505
Evanston, IL 60202-3439
Phone (847) 316-7055

Hospital & facility affiliations

  • Saint Francis Hospital-Evanston Hospital, Evanston, IL, CCN 140080
  • Northshore University Healthsystem - Evanston Hospital Hospital, Evanston, IL, CCN 140010
  • Amita Health Resurrection Medical Center Hospital, Chicago, IL, CCN 140117

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036104375ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Access Community Health Network CurrentSince Jul 1, 2010 Accepting new patients
Access Community Health Network CurrentSince Jul 1, 2010 Accepting new patients
Access Community Health Network Current Accepting new patients
Prime Healthcare Illinois Medical Group LLC Internal Medicine CurrentSince Jun 29, 2025 Accepting new patients
Gibson Community Hospital Association Past Accepting new patients

Locations

1801 W Olympic Blvd
#2636
Pasadena, CA 91199

1325 N Highland Ave
Aurora, IL 60506
Phone (630) 801-2756

100 Provena Way
Ste 103
Bourbonnais, IL 60914
Phone (815) 937-8780

7464 N Clark St
Chicago, IL 60626
Phone (773) 381-8700

100 N River Rd
Des Plaines, IL 60016
Phone (847) 297-1800

800 Austin St
Ste 607W
Evanston, IL 60202
Phone (847) 475-6063

800 Austin St
Ste 505
Evanston, IL 60202
Phone (847) 316-7055

800 Austin St
Ste 505W
Evanston, IL 60202
Phone (847) 491-9020

201 N Hammes Ave
Joliet, IL 60435
Phone (224) 273-6350

Interoperability endpoints

  • Direct secure messaging: araj6816@ce-direct.presencehealth.org

Organizations & group practices 5

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.

Hospital & facility affiliations 3

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": "1202860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616716800000",
    "number": "1972771848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9955 KARLOV AVE",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761117",
            "telephone_number": "847-677-1122",
            "fax_number": "847-677-7382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9955 KARLOV AVE",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761117",
            "telephone_number": "847-677-1122",
            "fax_number": "847-677-7382"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Austin St Ste 505",
            "address_purpose": "LOCATION",
            "city": "Evanston",
            "state": "IL",
            "postal_code": "602023439",
            "country_code": "US",
            "telephone_number": "847-733-1495",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAJ",
        "first_name": "ANSHU",
        "middle_name": "ANISH",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-13",
        "last_updated": "2021-03-26",
        "certification_date": "2021-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036104375",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036104375",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "araj6816@ce-direct.presencehealth.org",
            "affiliation": "N",
            "address_1": "800 Austin St Ste 505",
            "city": "Evanston",
            "state": "IL",
            "country_code": "US",
            "postal_code": "602023439",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Skokie, IL

Sources for this page

Verify at the official NPI Registry.