ANIDA THOUNSAVATH
NPI 1083536544
Nurse Practitioner - Family in Park Ridge, IL
About Anida Thounsavath NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANIDA THOUNSAVATH (NPI 1083536544) is an individual family provider in Park Ridge, Illinois, licensed in Illinois (209035515) and active in the NPI registry since July 2026. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Anida Thounsavath is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 60068 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Anida Thounsavath's NPI number?
The NPI number for Anida Thounsavath is 1083536544. It was assigned to this individual provider in the NPPES registry on July 27, 2026.
Where is Anida Thounsavath located?
Anida Thounsavath practices at 123 S Northwest Hwy, Park Ridge, IL 60068. The listed phone number is (224) 585-7000.
What is Anida Thounsavath's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Anida Thounsavath enrolled in Medicare?
Yes. Anida Thounsavath is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Anida Thounsavath was last updated on July 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Anida Thounsavath · NPI 1083536544
Family physician in Park Ridge, Illinois. Individual provider, active in the CMS NPPES registry since July 27, 2026.
## Identity
- **NPI:** 1083536544 (Entity type: Individual)
- **Enumerated:** July 27, 2026
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 209035515 (Illinois)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 123 S NORTHWEST HWY, Park Ridge, IL 60068-4243
- **Phone:** (224) 585-7000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** July 27, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1083536544) · Data from the CMS NPPES public registry.