DR. MUTIMBWA JO-ANNE ANAENE M.D.
NPI 1295042125
Pediatrics - Adolescent Medicine in Park Ridge, IL
About Dr. Mutimbwa Jo-anne Anaene M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MUTIMBWA JO-ANNE ANAENE M.D. (NPI 1295042125) is an individual adolescent medicine provider in Park Ridge, Illinois, licensed in Illinois (036132494) and active in the NPI registry since September 2010. She is enrolled in Medicare PECOS and maintains a secondary practice location in Des Plaines.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Mutimbwa Jo-anne Anaene M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Mutimbwa Anaene reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Park Ridge, IL 60068
- Reassigned Medicare billing, Illinois enrollment
- Medicare enrollment name: Advocate Health And Hospitals Corporation
- 4,870 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PARK RIDGE, IL 60068
PARK RIDGE, IL 60068
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 Mutimbwa Anaene's NPI number?
The NPI number for Mutimbwa Anaene is 1295042125. It was assigned to this individual provider in the NPPES registry on September 14, 2010.
Where is Mutimbwa Anaene located?
Mutimbwa Anaene practices at 1675 Dempster St, Park Ridge, IL 60068. The listed phone number is (847) 318-9300.
What is Mutimbwa Anaene's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.
Is Mutimbwa Anaene enrolled in Medicare?
Yes. Mutimbwa Anaene is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Mutimbwa Anaene's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mutimbwa Anaene reassigns Medicare benefits to Lutheran General Hospital (Park Ridge, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mutimbwa Anaene's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mutimbwa Anaene accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Mutimbwa Anaene as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Mutimbwa Anaene was last updated on December 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.
# Dr. Mutimbwa Jo-Anne Anaene, M.D. · NPI 1295042125
Adolescent Medicine physician in Park Ridge, Illinois. Individual provider, active in the CMS NPPES registry since September 14, 2010.
## Identity
- **NPI:** 1295042125 (Entity type: Individual)
- **Enumerated:** September 14, 2010
- **Primary specialty:** Pediatrics - Adolescent Medicine · taxonomy 2080A0000X
- **State license:** 036132494 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 1675 DEMPSTER ST, Park Ridge, IL 60068-1110
- **Phone:** (847) 318-9300
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Lutheran General Hospital (NPI 1801809306, Park Ridge, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 2, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1295042125) · Data from the CMS NPPES public registry.