JOHN LOUIS ANCONA (PA) – Physician Assistant, NPI 1003891649

JOHN LOUIS ANCONA (PA) is a healthcare provider. based in Oak lawn, Illinois. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 085000886 (IL). The NPI Number for JOHN LOUIS ANCONA (PA) is 1003891649

Main info

Male
33 Years Of Experience
Accepts Medicare Assignment
Name
JOHN LOUIS ANCONA (PA)
NPI
1003891649
Phone
(630) 977-9764
Address
4400 W 95TH ST
Enumeration Date
7 December 2005
Last Update Date
19 August 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2094762000
Graduation Year
1993 (33 years ago)
PAC ID
7113055575
Group Practice PAC ID
8921910225
Professional Enrollment ID
I20170616002257
Address ID
CA952103377ST7373XLANE300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

5,035 PHYSICIAN ASSISTANT in IL

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Provider Addresses for JOHN LOUIS ANCONA (PA)

  • Advocate Christ Medical Center, 4400, West 95th Street, Oak Lawn, Worth Township, Cook County, Illinois, 60453, United States

    SUITE 205

    OAK LAWN, IL 604532654

    Phone: (630) 977-9764

    Fax: (708) 346-3287

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $159.

Total Amount is formed as General ($159) + Research ($0) + Ownership ($0) = $159.

Last reported payment date: 2023-12-13 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($117).

Total Amount

$159

General + Research + Ownership

Payments

3

Total payment records

General Amount

$159

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-12-13

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-06-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170616002257IPhysician AssistantCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes6420$0
93750Evaluation of lower heart chamber assist device3911$0
View full utilization report →

Insurance plans in this area (ZIP 60453)

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Provider's Procedures

JOHN LOUIS ANCONA (PA) performs procedures in PHYSICIAN ASSISTANT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTIL36556Insertion of central venous catheter for infusion, patient 5 years or older1515

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8921910225View full group profile
NameSpecialtyState
Diagnostic RadiologyCA
Emergency MedicineDC
Colorectal Surgery (Proctology), General SurgeryLA
-CA
N E U R O S U R G E R YMA
Internal MedicineCA
Nurse PractitionerCA
Internal MedicineCA
-MA
Emergency MedicineCA

Reviews

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Frequently asked questions

Is JOHN LOUIS ANCONA (PA) listed with a National Provider Identifier?
Yes — JOHN LOUIS ANCONA (PA) has NPI 1003891649 on file in the registry.
Is JOHN LOUIS ANCONA (PA) shown as active in public data?
Registry records indicate JOHN LOUIS ANCONA (PA) maintains an active NPI.
What clinical focus is listed for JOHN LOUIS ANCONA (PA)?
At a glance, JOHN LOUIS ANCONA (PA) is tied to Physician Assistant. Clinical services aligned with this taxonomy classification.
What practice footprint exists for JOHN LOUIS ANCONA (PA)?
Travel planning: use Oak Lawn, Illinois as the reference point for JOHN LOUIS ANCONA (PA), then confirm.
When was this NPI issued?
Enumeration for JOHN LOUIS ANCONA (PA) is noted as December 7, 2005 where the registry provides it.

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