Ajitha Antony, MD is a medicare enrolled "Hospitalist" physician in Crown Point, Indiana. Her current practice location is
12750 Saint Francis Dr, Crown Point, Indiana. You can reach out to her office (for appointments etc.) via phone at
(219) 757-6005.
Ajitha Antony is licensed to practice in Illinois (license number 036115759) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1700895273.
Physician's Profile
| Full Name | Ajitha Antony |
|---|
| Gender | Female |
|---|
| Speciality | Hospitalist |
|---|
| Location | 12750 Saint Francis Dr, Crown Point, Indiana |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1700895273
- Provider Enumeration Date: 08/05/2006
- Last Update Date: 06/15/2026
Medicare PECOS Information:
- PECOS PAC ID: 9133579220
- Enrollment ID: I20240102003121
Medical Identifiers
Medical identifiers for Ajitha Antony such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1700895273 | NPI | - | NPPES |
| 2220936 | Other | IL | BCBS |
| 036115759 1 | Medicaid | IL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208000000X | Pediatrics | 036115759 (Illinois) | Secondary |
| 208000000X | Pediatrics | 01096558A (Indiana) | Secondary |
| 208M00000X | Hospitalist | 01096558A (Indiana) | Secondary |
| 208M00000X | Hospitalist | 036115759 (Illinois) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ajitha Antony allows following entities to bill medicare on her behalf.
| Entity Name | Endeavor Health Medical Group |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1497701882 PECOS PAC ID: 2163334699 Enrollment ID: O20040524000118 |
|---|
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ajitha Antony is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Ajitha Antony, MD 801 S Washington St, Naperville, IL 60540-7430 Ph: (630) 527-5197 | Ajitha Antony, MD 12750 Saint Francis Dr, Crown Point, IN 46307-0264 Ph: (219) 757-6005 |
Reviews and Comments