ANSHUL PANDEY M.D.
NPI 1902288988
Internal Medicine in Lombard, IL

Active since June 25, 2015PECOS EnrolledAccepts Medicare Assignment
1801 S HIGHLAND AVE STE 130, LOMBARD, IL 60148(630) 627-4722(630) 627-9134 Get Directions Write a Review

NPPES record last updated: December 13, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 13, 2024, Mar 24, 2020 (2 updates tracked since 2020).

About Anshul Pandey M.d. NPPES

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

ANSHUL PANDEY M.D. (NPI 1902288988) is an individual internal medicine provider in Lombard, Illinois, licensed in Illinois (036-152297) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1902288988
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameANSHUL PANDEYCredential: M.D.
Location Address1801 S HIGHLAND AVE STE 130Lombard, IL 60148-4932
Mailing AddressPob 7132960Chicago, IL 60677-0001 · (630) 469-9200
Fax(630) 627-9134
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJune 25, 2015
Last NPPES UpdateDecember 13, 20242 updates tracked since enumeration
NPPES CertifiedDecember 13, 2024
NPI 1902288988 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in IL · 036-152297
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 125.066573 (IL)
1801 S HIGHLAND AVE STE 130, Lombard, IL 60148

Secondary Practice Locations 2

Location 1751 N Rutledge St Ste 1100Springfield, IL 62702-4968 · Phone (217) 545-8000
Location 2701 N 1st StSpringfield, IL 62702-3757 · Phone (217) 545-8000 · Fax (217) 545-4735

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

Anshul Pandey M.d. 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 ID6103177399
PECOS Enrollment IDI20200505001268
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 2

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
18 services15 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.
12 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60148 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
$137.43 typical visit price
range $59.81 – $181.38
Typical copayment $34.35 (range $14.95 – $45.34)
Most-billed visit code 99204
Established Patient
$105.07 typical visit price
range $19.15 – $147.12
Typical copayment $26.26 (range $4.78 – $36.78)
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.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Humidifier, heated, used with positive airway pressure device E0562
DME-Other DME · category DE001N
1 supplier14 claims14 services$14.74 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
1 supplier14 claims14 services$39.72 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier11 claims11 services$19.46 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier11 claims11 services$198.65 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
1801 S HIGHLAND AVE STE 130
LOMBARD, IL 60148
Family Medicine
1801 S HIGHLAND AVE STE 130
LOMBARD, IL 60148
Pediatrics
1801 S HIGHLAND AVE STE 130
LOMBARD, IL 60148
Internal Medicine
1801 S HIGHLAND AVE STE 130
LOMBARD, IL 60148
Dietitian, Registered
1801 S HIGHLAND AVE STE 130
LOMBARD, IL 60148
Physician Assistant (Surgical)
1801 S HIGHLAND AVE STE 130
LOMBARD, IL 60148
Nurse Practitioner
1801 S HIGHLAND AVE STE 130
LOMBARD, IL 60148
Pediatrics
1801 S HIGHLAND AVE STE 130
LOMBARD, IL 60148

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 Anshul Pandey's NPI number?

The NPI number for Anshul Pandey is 1902288988. It was assigned to this individual provider in the NPPES registry on June 25, 2015.

Where is Anshul Pandey located?

Anshul Pandey practices at 1801 S Highland Ave Ste 130, Lombard, IL 60148. The listed phone number is (630) 627-4722.

What is Anshul Pandey's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Anshul Pandey enrolled in Medicare?

Yes. Anshul Pandey 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.

When was this NPI record last updated?

The NPPES record for Anshul Pandey was last updated on December 13, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.