Active NPI
Anphy Mohan
- Physician Assistant
- Chicago, IL
National Provider Identifier
1043586712
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 085004278
- Practice address
- 5841 S Maryland Ave,
University of Chicago Medical Center Dept. of OB/GYN
Chicago, IL 60637-1447 - Phone
- (773) 702-1000
- Fax
- (773) 702-5411
- NPI assigned
- Mar 28, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 085004278 | IL | Primary |
Addresses
Primary practice location
5841 S Maryland Ave,
University of Chicago Medical Center Dept. of OB/GYN
Chicago, IL 60637-1447
Mailing address
5841 S Maryland Ave
University of Chicago Medical Center
Chicago, IL 60637-1447
Phone (773) 702-1000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 085004278 | IL | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722556800000",
"number": "1043586712",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5841 S MARYLAND AVE",
"address_2": "UNIVERSITY OF CHICAGO MEDICAL CENTER",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606371447",
"telephone_number": "773-702-1000",
"fax_number": "773-702-5411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5841 S MARYLAND AVE,",
"address_2": "UNIVERSITY OF CHICAGO MEDICAL CENTER DEPT. OF OB/GYN",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606371447",
"telephone_number": "773-702-1000",
"fax_number": "773-702-5411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOHAN",
"first_name": "ANPHY",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-03-28",
"last_updated": "2024-08-02",
"certification_date": "2024-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IL",
"license": "085004278",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.