DR. STEVE FANKAM (CRNA) – Certified Registered Nurse Anesthetist, NPI 1255910014

DR. STEVE FANKAM (CRNA) is a healthcare provider. based in Palos heights, Illinois. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 209023285 (IL). The NPI Number for DR. STEVE FANKAM (CRNA) is 1255910014

Main info

Male
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
DR. STEVE FANKAM (CRNA)
NPI
1255910014
Phone
(708) 923-3936
Address
12251 S 80TH AVE
Enumeration Date
7 April 2021
Last Update Date
10 October 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7739624100
Graduation Year
2021 (5 years ago)
PAC ID
8628468667
Group Practice PAC ID
1759361579
Professional Enrollment ID
I20211206000806
Address ID
IL606213114CH326XXSTXX497

Contacts

Secure Messaging
sfankam234858@direct.luhs.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness85
Years active:5State licenses:1Other namesUpdated within 12 months

2,265 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in IL

Provider Addresses for DR. STEVE FANKAM (CRNA)

  • 12251 S 80TH AVE

    PALOS HEIGHTS, IL 604631290

    Phone: (708) 923-3936

    Fax: (708) 923-8848

    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 1 Open Payments records for all available years, with a total value of $13.

Total Amount is formed as General ($13) + Research ($0) + Ownership ($0) = $13.

Last reported payment date: 2023-04-27 • Largest payer in this snapshot: Heron Therapeutics, Inc. ($13).

Total Amount

$13

General + Research + Ownership

Payments

1

Total payment records

General Amount

$13

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-04-27

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Heron Therapeutics, Inc.$13
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: 2021-12-06

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
I20211206000806ICertified Registered Nurse Anesthetist (Crna)ILTBD

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 60463)

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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: 1759361579View full group profile
NameSpecialtyState
Anesthesiology, Pain ManagementIL
Diagnostic Radiology, Interventional RadiologyIL
Hospitalist, Internal MedicineIL
Nurse PractitionerIL
Diagnostic RadiologyIL
Internal Medicine, HospitalistIL
Internal Medicine, Family Practice, HospitalistIL
Registered Dietitian Or Nutrition ProfessionalIL
Diagnostic RadiologyWA
Diagnostic Radiology, Interventional RadiologyIL

Reviews

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Frequently asked questions

Can I use this page to confirm DR. STEVE FANKAM (CRNA)'s NPI?
Yes. DR. STEVE FANKAM (CRNA) is listed with NPI 1255910014 in the public NPI dataset.
Does CMS list DR. STEVE FANKAM (CRNA) as active?
Yes — DR. STEVE FANKAM (CRNA) is active in the NPI listing used on this page.
What is DR. STEVE FANKAM (CRNA)'s specialty?
The listing groups DR. STEVE FANKAM (CRNA) with Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What address line appears for DR. STEVE FANKAM (CRNA)?
DR. STEVE FANKAM (CRNA)'s geographic hint is Palos Heights, Illinois in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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