Mr Owaiz Ansari, MD in Evanston, IL

Mr Owaiz Ansari, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Evanston, Illinois. His current practice location is 2650 Ridge Ave Ste 1304, Evanston, Illinois. You can reach out to his office (for appointments etc.) via phone at (847) 570-2000.

Mr Owaiz Ansari is licensed to practice in Illinois (license number 125.073828) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1932574514.

Contact Information

	Mr Owaiz Ansari, MD
	2650 Ridge Ave Ste 1304, Evanston, IL 60201-1700
	(847) 570-2000
	Not Available

Map and Direction

Physician's Profile

Full Name	Mr Owaiz Ansari
Gender	Male
Speciality	Radiology - Diagnostic Radiology
Location	2650 Ridge Ave Ste 1304, Evanston, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1932574514
Provider Enumeration Date: 12/07/2015
Last Update Date: 07/01/2024

Medicare PECOS Information:

PECOS PAC ID: 1355751181
Enrollment ID: I20240429001130

Medical Identifiers

Medical identifiers for Mr Owaiz Ansari such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1932574514	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	125.073828 (Illinois)	Primary
207R00000X	Internal Medicine	036160950 (Illinois)	Secondary

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. Mr Owaiz Ansari allows following entities to bill medicare on his behalf.

Entity Name	Loyola University Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1336159961 PECOS PAC ID: 3779488903 Enrollment ID: O20031202000027

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. Mr Owaiz Ansari 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
Mr Owaiz Ansari, MD 2650 Ridge Ave, Evanston, IL 60201-1700 Ph: (847) 570-2475	Mr Owaiz Ansari, MD 2650 Ridge Ave Ste 1304, Evanston, IL 60201-1700 Ph: (847) 570-2000

Reviews and Comments

Radiology Doctors in Evanston, IL

Dr. Daniel K. West, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave, Department Of Radiology, G507, Evanston, IL 60201 Phone: 847-570-2475 Fax: 847-570-2942
Joel Bernstein, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 2650 Ridge Ave, Evanston Hospital, Evanston, IL 60201 Phone: 847-570-1206 Fax: 847-570-1248
Dr. Marc J Alonzo, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave, Department Of Radiology, G507, Evanston, IL 60201 Phone: 847-570-2475 Fax: 847-570-2942
Ali Abbas Al-saraf, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave, Evanston, IL 60201 Phone: 847-570-2477
Anupam Basu, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave, Evanston Hospital, Evanston, IL 60201 Phone: 847-570-2000
Dr. Joseph Michael Montalbano, MD Radiology Medicare: May Accept Medicare Assignments Practice Location: 2650 Ridge Ave, Department Of Radiology, G507, Evanston, IL 60201 Phone: 847-570-2475 Fax: 847-570-2942
Jacob Seth Ecanow, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave., Department Of Radiology, Evanston, IL 60201 Phone: 847-570-2475 Fax: 847-570-2942

Mr Owaiz Ansari, MD - Medicare Radiology in Evanston, IL