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

Q: 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.

Q: What is Anshul Pandey's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Anshul Pandey was last updated on December 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.

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: November 01, 2026.

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

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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

Phone(630) 627-4722

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

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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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

Medicare enrollment records show Anshul Pandey reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Dupage Medical Group Ltd

1.3 mi

Multi-Specialty

1100 W 31ST ST, STE 300
Downers Grove, IL 60515

Reassigned Medicare billing, Illinois enrollment
1,061 clinicians in this Medicare group

NPI 1801833983 (630) 469-9200

Siu Physicians & Surgeons, Inc

165 mi

Endocrinology, Diabetes & Metabolism

201 E MADISON ST STE 328
Springfield, IL 62702

Reassigned Medicare billing, Illinois enrollment
645 clinicians in this Medicare group

NPI 1558385989 (217) 545-8000

Board Of Trustees Of Southern Illinois University

166 mi

Primary Care

520 N 4TH ST
Springfield, IL 62702

Reassigned Medicare billing, Illinois enrollment
262 clinicians in this Medicare group

NPI 1396097960 (217) 757-8100

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

LINA GRACE MURPHY PA-C

Physician Assistant