ANU VISHWANATH – Pediatric Endocrinology Physician, NPI 1982816237
Pediatric Endocrinology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for ANU VISHWANATH
5400 W SIENNA LN APT 1208
APT 1208
PEORIA, IL 616157854
Phone: (312) 860-0315
Type: Mailing
11370 ANDERSON ST STE B800
LOMA LINDA, CA 923543450
Phone: (909) 558-5138
Type: Location
11175 CAMPUS ST RM A1111
LOMA LINDA, CA 923501700
Phone: (909) 558-8142
Type: Mailing
401, Northeast Glen Oak Avenue, Peoria, Peoria County, Illinois, 61603, United States
SUITE 401
PEORIA, IL 616033168
Phone: (309) 624-9844
Fax: (309) 624-8884
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: 2024-09-23
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20160209001950 | I | Endocrinology | IL | TBD |
| I20240923001075 | I | Endocrinology | CA | TBD |
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.
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 61615)
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Reviews
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