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DR. ANISHA DUA MD
NPI 1316104854
Internal Medicine - Rheumatology in Chicago, IL

Active since May 21, 2008PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
259 E ERIE ST, CHICAGO, IL 60611(312) 695-6868 Get Directions Write a Review

NPPES record last updated: January 5, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Anisha Dua Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ANISHA DUA MD (NPI 1316104854) is an individual rheumatology provider in Chicago, Illinois, licensed in Illinois (036125028) and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS, is affiliated with Northwestern Medicine Mchenry, and is a graduate of George Washington University School Of Medicine (2007).

NPPES Registry Identity

NPI1316104854
Entity TypeIndividualFemale
Primary Taxonomy207RR0500X
Provider Legal NameDR. ANISHA DUACredential: MD
Location Address259 E ERIE STChicago, IL 60611-2987
Mailing Address680 N Lake Shore DrChicago, IL 60611-4546 · (312) 695-6868
Phone(312) 695-6868
Sole ProprietorNo
Medical School CMSGeorge Washington University School Of MedicineGraduated 2007
Enumeration DateMay 21, 2008
Last NPPES UpdateJanuary 5, 2019
✔ NPI 1316104854 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License✔ Licensed in IL · 036125028
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
Also ListedInternal MedicineTaxonomy 207R00000X · License 125053311 (IL), 036125028 (IL)
259 E ERIE ST, Chicago, IL 60611
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Anisha Dua Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8527214576
PECOS Enrollment IDI20131226001255
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.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
170 services91 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
78 services66 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
72 services12 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
26 services26 patients
Telephone medical discussion with physician, 21-30 minutes 99443
This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
17 services11 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northwestern Medicine Mchenry

Acute Care Hospitals · Mchenry, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140116
Location4201 Medical Center DriveMchenry, IL 60050 · Mc Henry County
Emergency services Birthing friendly

Northwestern Lake Forest Hospital

Acute Care Hospitals · Lake Forest, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140130
Location1000 N Westmoreland RoadLake Forest, IL 60045 · Lake County
Emergency services Birthing friendly

Northwestern Medicine Delnor Community Hospital

Acute Care Hospitals · Geneva, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140211
Location300 Randall RdGeneva, IL 60134 · Kane County
Emergency services Birthing friendly

Northwestern Medicine Central Dupage Hospital

Acute Care Hospitals · Winfield, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140242
Location25 North Winfield RoadWinfield, IL 60190 · Du Page County
Emergency services Birthing friendly

Northwestern Memorial Hospital

Acute Care Hospitals · Chicago, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140281
Location251 E Huron StChicago, IL 60611 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60611 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.59
Promoting Interoperability100
Improvement Activities40

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.

DIANE MARIE HEIDMANN MD
Internal Medicine
259 E ERIE ST, SUITE 2230
CHICAGO, IL 60611
Cook County (312) 926-6000
DR. VEHNIAH KRISTIN TJONG M.D.
Orthopaedic Surgery (Sports Medicine)
259 E ERIE ST, 13TH FLOOR
CHICAGO, IL 60611
Cook County (312) 695-6800
GRETCHEN YORK
Nurse Practitioner (Family)
259 E ERIE ST
CHICAGO, IL 60611
Cook County (610) 212-4235
DR. TRACY B SORCE MD
Internal Medicine
259 E ERIE ST, STE 2230
CHICAGO, IL 60611
Cook County (312) 926-6000
DR. CURT S KREVITZ DPM
Podiatrist
259 E ERIE ST, SUITE 2230
CHICAGO, IL 60611
Cook County (312) 926-6000
DR. KEVIN D HARDT M.D
Orthopaedic Surgery
259 E ERIE ST, 13TH FLOOR
CHICAGO, IL 60611
Cook County (312) 695-6800
DR. KEVIN D HARDT M.D
Orthopaedic Surgery
259 E ERIE ST, 13TH FLOOR
CHICAGO, IL 60611
Cook County (312) 695-6800
JI MIN KIM
Nurse Practitioner (Gerontology)
259 E ERIE ST
CHICAGO, IL 60611
Cook County (312) 695-4517

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 Anisha Dua's NPI number?

The NPI number for Anisha Dua is 1316104854. It was assigned to this individual provider in the NPPES registry on May 21, 2008.

Where is Anisha Dua located?

Anisha Dua practices at 259 E Erie St, Chicago, IL 60611. The listed phone number is (312) 695-6868.

What is Anisha Dua's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Anisha Dua enrolled in Medicare?

Yes. Anisha Dua is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Anisha Dua affiliated with any hospitals?

According to CMS data, Anisha Dua is affiliated with Northwestern Medicine Mchenry, Northwestern Lake Forest Hospital, Northwestern Medicine Delnor Community Hospital, Northwestern Medicine Central Dupage Hospital and Northwestern Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Anisha Dua was last updated on January 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.