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DR. MUTIMBWA JO-ANNE ANAENE M.D.
NPI 1295042125
Pediatrics - Adolescent Medicine in Park Ridge, IL

Active since September 14, 2010PECOS Enrolled
1675 DEMPSTER ST, PARK RIDGE, IL 60068(847) 318-9300 Get Directions Write a Review

NPPES record last updated: December 2, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1295042125
Entity TypeIndividualFemale
Primary Taxonomy2080A0000X
Provider Legal NameDR. MUTIMBWA JO-ANNE ANAENECredential: M.D.
Location Address1675 DEMPSTER STPark Ridge, IL 60068-1110
Mailing Address1675 W Dempster StPark Ridge, IL 60068-1110 · (847) 723-4370
Phone(847) 318-9300
Sole ProprietorNo
Enumeration DateSeptember 14, 2010
Last NPPES UpdateDecember 2, 2021
NPPES CertifiedOctober 14, 2021
✔ NPI 1295042125 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
License✔ Licensed in IL · 036132494
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
1675 DEMPSTER ST, Park Ridge, IL 60068
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Secondary Practice Location 1

Location 177 Rand RdDes Plaines, IL 60016-1005 · Phone (847) 318-9300

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

KYUBIN KYUNG DO
Pediatrics
1675 DEMPSTER ST
PARK RIDGE, IL 60068
Cook County (847) 318-9300
DR. NOUR AKHRAS M.D.
Pediatrics
1675 DEMPSTER ST
PARK RIDGE, IL 60068
Cook County (847) 318-9300
DR. JURAT SINGH RAJPAL M.D.
Pediatrics (Pediatric Nephrology)
1675 DEMPSTER ST, SECOND FLOOR
PARK RIDGE, IL 60068
Cook County (847) 318-9330
DR. CHRISTOPHER M JAMERSON M.D.
Pediatrics
1675 DEMPSTER ST, YACKTMAN PAVILION
PARK RIDGE, IL 60068
Cook County (847) 723-9557
SUSAN MICHELE UNFER M.D.
Pediatrics
1675 DEMPSTER ST
PARK RIDGE, IL 60068
Cook County (847) 318-9300
DR. WILLIAM RICHARD GOODELL M.D.
Pediatrics (Pediatric Hematology-Oncology)
1675 DEMPSTER ST, 2ND FLOOR
PARK RIDGE, IL 60068
Cook County (847) 723-9400
RABIAH BASITH
Pediatrics
1675 DEMPSTER ST
PARK RIDGE, IL 60068
Cook County (847) 318-9300
JASPER KUHN MD
Pediatrics
1675 DEMPSTER ST
PARK RIDGE, IL 60068
Cook County (847) 723-2210

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.

What insurance does Mutimbwa Anaene accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State 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.