SHRUTI ELIZABETH ANTHONY – Physician Assistant, NPI 1366049132

SHRUTI ELIZABETH ANTHONY is a healthcare provider. based in Lake forest, Illinois. specializing in PHYSICIAN ASSISTANT. They hold a License No. 085007892 (IL). The NPI Number for SHRUTI ELIZABETH ANTHONY is 1366049132

Main info

Female
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
SHRUTI ELIZABETH ANTHONY
NPI
1366049132
Phone
(312) 227-4100
Address
900 N Westmoreland Rd Ste 110
Enumeration Date
5 October 2020
Last Update Date
24 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2020 (6 years ago)
PAC ID
7517379738
Group Practice PAC ID
4587576814
Professional Enrollment ID
I20201212000070
Address ID
IL606112908CH251XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness85
Years active:5State licenses:1Digital endpointsOther names

5,035 PHYSICIAN ASSISTANT in IL

Provider Addresses for SHRUTI ELIZABETH ANTHONY

  • 900 N Westmoreland Rd Ste 110

    Lake Forest, IL 600451688

    Phone: (312) 227-4100

    Type: Location

  • 10350 Haligus Rd Ste 110

    Huntley, IL 601429526

    Phone: (312) 227-4100

    Type: Location

  • 1895 Arbor Glen Blvd

    Schaumburg, IL 601953114

    Phone: (312) 227-4100

    Type: Location

  • 250 E Superior St

    Chicago, IL 606112914

    Phone: (312) 227-4100

    Type: Location

  • 3722 Touhy Ave

    Skokie, IL 600763941

    Phone: (312) 227-4100

    Type: Location

  • 251 E Huron St

    Chicago, IL 606112908

    Phone: (312) 227-4100

    Type: Location

  • 1620 W Harrison St

    Chicago, IL 606123801

    Phone: (312) 227-4100

    Type: Location

  • 880 W Central Rd Ste 6400

    Arlington Heights, IL 600052378

    Phone: (312) 227-4100

    Type: Location

  • 2301 Enterprise Dr

    Westchester, IL 601545802

    Phone: (312) 227-4100

    Type: Location

  • 1870 Silver Cross Blvd Ste 210

    New Lenox, IL 604518646

    Phone: (312) 227-4100

    Type: Location

  • 1131 Techny Rd

    Northbrook, IL 600625503

    Phone: (312) 227-4100

    Type: Location

  • 675 N SAINT CLAIR ST STE 19-100

    CHICAGO, IL 606115969

    Phone: (312) 664-3278

    Fax: (312) 695-5774

    Type: Mailing

  • 877 JEFFERSON AVE

    MEMPHIS, TN 381032807

    Phone: (901) 545-7100

    Type: Mailing

  • 2515 N Clark St Ste 900

    Chicago, IL 606142730

    Phone: (312) 227-4100

    Type: Location

  • 1475 E Belvidere Rd, Pavilion C

    Suite 285

    Grayslake, IL 60030

    Phone: (312) 227-4100

    Fax: (312) 227-9640

    Type: Location

  • 25 N Winfield Rd

    Winfield, IL 601901379

    Phone: (312) 227-4100

    Type: Location

  • 225 E CHICAGO AVE

    CHICAGO, IL 606112991

    Phone: (312) 227-4100

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $396.

Total Amount is formed as General ($396) + Research ($0) + Ownership ($0) = $396.

Last reported payment date: 2024-02-13 • Largest payer in this snapshot: ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) ($207).

Total Amount

$396

General + Research + Ownership

Payments

6

Total payment records

General Amount

$396

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-13

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: 2020-12-12

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
I20201212000070IPhysician AssistantILTBD

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 60045)

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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: 4587576814View full group profile
NameSpecialtyState
-IL
Diagnostic Radiology, Interventional RadiologyIL
P A T H O L O G YIL
Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal MedicineIL
G A S T R O E N T E R O L O G YIL
Internal MedicineIL
Cardiac Electrophysiology, Cardiovascular Disease (Cardiology), Internal MedicineMN
-IL
Physical Therapist In Private PracticeIL
Nurse PractitionerIL

Reviews

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Frequently asked questions

Where can patients find SHRUTI ELIZABETH ANTHONY's NPI?
You can confirm SHRUTI ELIZABETH ANTHONY with NPI 1366049132; it appears in the national provider directory.
Does this profile mean SHRUTI ELIZABETH ANTHONY is currently active?
Yes — SHRUTI ELIZABETH ANTHONY appears active in the national provider directory.
What kind of provider is SHRUTI ELIZABETH ANTHONY?
The page reflects Physician Assistant for SHRUTI ELIZABETH ANTHONY. Clinical services aligned with this taxonomy classification.
Where is SHRUTI ELIZABETH ANTHONY's primary listing?
We display Lake Forest, Illinois because that is what the record indicates for SHRUTI ELIZABETH ANTHONY.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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