Priyanka Chava, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

125062131 Issued in IL

Practice address

3333 Green Bay Rd
North Chicago, IL 60064-3037

Phone

(847) 578-8711

Fax

(847) 578-3321

NPI assigned

Jun 27, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

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.

Enrollment records 1

Specialty

Psychiatry

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Health and Human Services CommissionGroup PAC ID 2163795824, 138 clinicians

Lakes Regional Mental Health Mental Retardation CenterGroup PAC ID 9739175225, 18 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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

• Health and Human Services Commission

  • Clinical Neuropsychologist
  • Harlingen, TX
  • NPI 1356414692

  Psychiatry

  Medicare reassignment Care Compare group NPD
• Lakes Regional Mental Health Mental Retardation Center

  • Community/Behavioral Health Agency
  • Terrell, TX
  • NPI 1881752715
  Medicare reassignment Care Compare group NPD
• Health and Human Services Commission

  • Psychiatric Hospital
  • Big Spring, TX
  • NPI 1881600682
  NPD
• Health and Human Services Commission

  • Psychiatric Hospital
  • Terrell, TX
  • NPI 1992713119
  NPD (past)

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

{
    "created_epoch": "1340755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427241600000",
    "number": "1063776656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 GREEN BAY RD",
            "city": "NORTH CHICAGO",
            "state": "IL",
            "postal_code": "600643037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 GREEN BAY RD",
            "city": "NORTH CHICAGO",
            "state": "IL",
            "postal_code": "600643037",
            "telephone_number": "847-578-8711",
            "fax_number": "847-578-3321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAVA",
        "first_name": "PRIYANKA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-27",
        "last_updated": "2015-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "125062131",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEMPORARY PHYSICIAN LICENSE",
            "identifier": "125062131",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susanna Chang, M.D.
• Jamie Chapman, LCSW
• Sandra C. Chapman, APN
• Lisa Ann Charles Fields, PHD, PA-C
• Suzanne Thanh Chau, PHARMD, BCPS
• Jin Cheng Benny Chen
• Regina C Chen, PA-C
• Jen-Chieh Cheng, M.D.03/08/1941
• Biju Cherian, PA-C
• Samantha Ann Chesney, PH.D.

• Psychiatry Physician in North Chicago, IL
• Providers in North Chicago, IL by specialty
• Psychiatry Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.