ANNA IVANENKO (MD PHD) – Sleep Medicine (Psychiatry & Neurology) Physician, NPI 1255308334

ANNA IVANENKO (MD PHD) is a healthcare provider. based in Elk grove village, Illinois. specializing in PSYCHIATRY, SLEEP MEDICINE. They hold the professional credentials MD PHD. They hold a License No. 36108993 (IL). The NPI Number for ANNA IVANENKO (MD PHD) is 1255308334

Main info

Female
43 Years Of Experience
Name
ANNA IVANENKO (MD PHD)
NPI
1255308334
Phone
(847) 981-3660
Address
800 BIESTERFIELD RD
Enumeration Date
7 March 2006
Last Update Date
5 April 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8476774200
Graduation Year
1983 (43 years ago)
PAC ID
8224008438
Group Practice PAC ID
6002134624
Professional Enrollment ID
I20040727000513

Contacts

Secure Messaging
sublung@380.direct.myezyaccess.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

1,367 PSYCHIATRY in IL

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Provider Addresses for ANNA IVANENKO (MD PHD)

  • Alexian Brothers Medical Center, 800, Biesterfield Road, Elk Grove Village, Elk Grove Township, Cook County, Illinois, 60007, United States

    SUITE 510

    ELK GROVE VILLAGE, IL 600073361

    Phone: (847) 981-3660

    Fax: (847) 956-5108

    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 31 Open Payments records for all available years, with a total value of $11,565.

Total Amount is formed as General ($11,565) + Research ($0) + Ownership ($0) = $11,565.

Last reported payment date: 2024-11-25 • Largest payer in this snapshot: JAZZ PHARMACEUTICALS INC. ($10,132).

Total Amount

$11,565

General + Research + Ownership

Payments

31

Total payment records

General Amount

$11,565

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-25

Latest reported date

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: 2004-07-27

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
I20040727000513IPsychiatryILTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60007)

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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: 6002134624View full group profile
NameSpecialtyState
-IL
-IL
Pulmonary Disease, Critical Care (Intensivists)IL
-IL
Critical Care (Intensivists), Internal Medicine, Pulmonary DiseaseIL
-IL
-IL
-IL

Reviews

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Frequently asked questions

Can I cross-check ANNA IVANENKO (MD PHD) using NPI 1255308334?
NPI 1255308334 belongs to ANNA IVANENKO (MD PHD); compare other details if you need extra assurance.
Is there an active status for ANNA IVANENKO (MD PHD)?
For scheduling context, ANNA IVANENKO (MD PHD) is shown as active in the registry.
What area of care is associated with ANNA IVANENKO (MD PHD)?
ANNA IVANENKO (MD PHD)'s record emphasizes Sleep Medicine (Psychiatry & Neurology) Physician. Clinical services aligned with this taxonomy classification.
Where in Illinois is ANNA IVANENKO (MD PHD) registered?
Use Elk Grove Village, Illinois as the headline location for ANNA IVANENKO (MD PHD) here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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