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DR. ANISH PRAVIN PITHADIA M.D.
NPI 1417074774
Family Medicine in Glenview, IL

Active since March 23, 2007Opted out of Medicare · through Jan 1, 2028
89.66/100
CMS Quality Rating
3633 W LAKE AVE STE 108, GLENVIEW, IL 60026(847) 510-2805(847) 510-2806 Get Directions Write a Review

NPPES record last updated: November 14, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 14, 2022, May 10, 2021, Mar 5, 2020 (3 updates tracked since 2020).

About Dr. Anish Pravin Pithadia M.d. NPPES

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

DR. ANISH PRAVIN PITHADIA M.D. (NPI 1417074774) is an individual family medicine provider in Glenview, Illinois, licensed in Illinois (036-116564) and active in the NPI registry since March 2007. He has opted out of Medicare through January 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1417074774
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. ANISH PRAVIN PITHADIACredential: M.D.
Location Address3633 W LAKE AVE STE 108Glenview, IL 60026-5801
Mailing Address3633 W Lake Ave Ste 108Glenview, IL 60026-5801 · (847) 510-2805 · Fax (847) 510-2806
Phone(847) 510-2805
Fax(847) 510-2806
Sole ProprietorNo
Enumeration DateMarch 23, 2007
Last NPPES UpdateNovember 14, 20223 updates tracked since enumeration
NPPES CertifiedNovember 14, 2022
✔ NPI 1417074774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IL · 036-116564
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3633 W LAKE AVE STE 108, Glenview, IL 60026
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Other Identifiers 2

Other1619414IL · Bcbs Grp
Medicaid3633309286030501IL

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Anish Pravin Pithadia M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2026 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2026
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60026 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
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.

89.66/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality79.32
Promoting Interoperability100
Improvement Activities40

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.

MARK A STEFANIUK M.D.
Family Medicine
3633 W LAKE AVE STE 108
GLENVIEW, IL 60026
Cook County (847) 510-2805
PIONEER CONCIERGE MEDICINE, PLLC
Family Medicine
3633 W LAKE AVE STE 108
GLENVIEW, IL 60026
Cook County (847) 510-2805

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 Anish Pithadia's NPI number?

The NPI number for Anish Pithadia is 1417074774. It was assigned to this individual provider in the NPPES registry on March 23, 2007.

Where is Anish Pithadia located?

Anish Pithadia practices at 3633 W Lake Ave Ste 108, Glenview, IL 60026. The listed phone number is (847) 510-2805.

What is Anish Pithadia's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Anish Pithadia enrolled in Medicare?

No. Anish Pithadia has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Anish Pithadia was last updated on November 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.