ANJANA DWIVEDI (ANJANA DWIVEDI, M.D.) – Anesthesiology Physician, NPI 1205120136

ANJANA DWIVEDI (ANJANA DWIVEDI, M.D.) is a healthcare provider. based in Fairfax, Virginia. specializing in ANESTHESIOLOGY. They hold the professional credentials ANJANA DWIVEDI, M.D.. They hold a License No. NA (IL). The NPI Number for ANJANA DWIVEDI (ANJANA DWIVEDI, M.D.) is 1205120136

Main info

Female
Sole Proprietor
15 Years Of Experience
Accepts Medicare Assignment
Name
ANJANA DWIVEDI (ANJANA DWIVEDI, M.D.)
NPI
1205120136
Phone
(571) 777-5106
Address
11781 LEE JACKSON MEMORIAL HWY
Enumeration Date
8 June 2011
Last Update Date
20 November 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7086813200
Graduation Year
2011 (15 years ago)
PAC ID
5698907186
Group Practice PAC ID
3476979683
Professional Enrollment ID
I20151118000324
Address ID
IL601601612ME701XXAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:15State licenses:1Digital endpointsOther names

2,631 ANESTHESIOLOGY in IL

Provider Addresses for ANJANA DWIVEDI (ANJANA DWIVEDI, M.D.)

  • 11781 LEE JACKSON MEMORIAL HWY

    STE 550

    FAIRFAX, VA 220333309

    Phone: (571) 777-5106

    Fax: (703) 563-6256

    Type: Mailing

  • 4646 N MARINE DR

    CHICAGO, IL 60640

    Phone: (773) 878-8700

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2015-11-18

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
I20151118000324IAnesthesiologyILTBD

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
00142Anesthesia for lens surgery2121$0
00811Anesthesia for other procedure on large bowel using an endoscope2019$0
View full utilization report →

Insurance plans in this area (ZIP 22033)

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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: 3476979683View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YIL
Certified Registered Nurse Anesthetist (Crna)IL
A N E S T H E S I O L O G YIL
A N E S T H E S I O L O G YIL
Anesthesiology, Interventional Pain Management, Pain ManagementIL
Certified Registered Nurse Anesthetist (Crna)IL
A N E S T H E S I O L O G YCT
Certified Registered Nurse Anesthetist (Crna)AZ
A N E S T H E S I O L O G YTX

Reviews

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Frequently asked questions

Does ANJANA DWIVEDI (ANJANA DWIVEDI, M.D.) have a public NPI I can cite?
Public records show ANJANA DWIVEDI (ANJANA DWIVEDI, M.D.) under NPI 1205120136.
Does the public listing show ANJANA DWIVEDI (ANJANA DWIVEDI, M.D.) as active?
ANJANA DWIVEDI (ANJANA DWIVEDI, M.D.)'s NPI record reflects an active status in NPPES.
Which specialty label fits ANJANA DWIVEDI (ANJANA DWIVEDI, M.D.)?
NPPES ties ANJANA DWIVEDI (ANJANA DWIVEDI, M.D.) to Anesthesiology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to ANJANA DWIVEDI (ANJANA DWIVEDI, M.D.)?
The directory associates ANJANA DWIVEDI (ANJANA DWIVEDI, M.D.) with Fairfax, Virginia. Check all listed addresses for suites or satellite offices.
Who maintains ANJANA DWIVEDI (ANJANA DWIVEDI, M.D.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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