Individual provider Active NPI

Bavani Wanar Rajah, MD

  • Psychiatry Physician
  • Oak Park, IL
National Provider Identifier
1033613831
Registry record updated Nov 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
036.156313 Issued in IL
Practice address
1010 Lake St Ste 616
Oak Park, IL 60301-1136
Phone
(312) 640-7740
Fax
(614) 591-3934
NPI assigned
Mar 19, 2018
Last updated
Nov 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 036.156313 IL Primary

Addresses

Primary practice location

1010 Lake St Ste 616
Oak Park, IL 60301-1136

Mailing address

1010 Lake St Ste 616
Oak Park, IL 60301-1136

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Sep 24, 2025 through Sep 24, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036.156313ILMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vanderbilt University Medical Center Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1521417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763424000000",
    "number": "1033613831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 LAKE ST STE 616",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603011136",
            "fax_number": "614-591-3934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 LAKE ST STE 616",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603011136",
            "telephone_number": "312-640-7740",
            "fax_number": "614-591-3934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAJAH",
        "first_name": "BAVANI",
        "middle_name": "WANAR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-19",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036.156313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Park, IL

Sources for this page

Verify at the official NPI Registry.