DR. ANIS ADNANI (MD) – Emergency Medical Services (Emergency Medicine) Physician, NPI 1356976443

DR. ANIS ADNANI (MD) is a healthcare provider. based in Kenosha, Wisconsin. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 036169978 (IL). The NPI Number for DR. ANIS ADNANI (MD) is 1356976443

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
DR. ANIS ADNANI (MD)
NPI
1356976443
Phone
(262) 948-5600
Address
10400 75th St
Enumeration Date
9 March 2020
Last Update Date
22 April 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8477239454
Graduation Year
2021 (5 years ago)
PAC ID
7517369432
Group Practice PAC ID
7810800935
Professional Enrollment ID
I20240814001709
Address ID
IL600681143PA1775XSTXX300

Contacts

Secure Messaging
aadnani305958@direct.myadvocateaurora.org
FHIR Endpoint
https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness95
Years active:6State licenses:2Other names

1,297 EMERGENCY MEDICINE in WI

Provider Addresses for DR. ANIS ADNANI (MD)

  • 10400 75th St

    Kenosha, WI 531427884

    Phone: (262) 948-5600

    Type: Location

  • 525 PINE ST

    SCRANTON, PA 185093240

    Phone:

    Type: Mailing

  • 29373 NETWORK PL

    CHICAGO, IL 606733964

    Phone: (847) 390-5900

    Type: Mailing

  • 1740 W Taylor St

    Chicago, IL 606127232

    Phone: (312) 996-2933

    Type: Location

  • 1775 DEMPSTER ST

    PARK RIDGE, IL 600681143

    Phone: (847) 723-7624

    Type: Location

  • 1546 W CORTEZ ST APT 1

    CHICAGO, IL 606423964

    Phone: (949) 874-7008

    Type: Mailing

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: 2024-08-14

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
I20240814001709IEmergency MedicineILTBD

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 53142)

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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: 7810800935View full group profile

Reviews

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Frequently asked questions

What identifier follows DR. ANIS ADNANI (MD) across health systems?
The NPI 1356976443 uniquely identifies DR. ANIS ADNANI (MD) in U.S. healthcare data.
Is DR. ANIS ADNANI (MD) currently accepting referrals based on NPI status?
Registry metadata lists DR. ANIS ADNANI (MD) as active.
How should patients interpret DR. ANIS ADNANI (MD)'s specialty?
The extract shows Emergency Medical Services (Emergency Medicine) Physician for DR. ANIS ADNANI (MD). Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. ANIS ADNANI (MD)?
DR. ANIS ADNANI (MD) is associated with Kenosha, Wisconsin in the same public data insurers reference.
Why is information missing for DR. ANIS ADNANI (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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