Individual provider Active NPI

Neha Datta, M.D.

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Orland Park, IL
National Provider Identifier
1093247405
Registry record updated Mar 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084A0401X
License
036155757 Issued in IL
Practice address
15300 West Ave Ste 313
Orland Park, IL 60462-4687
Phone
(708) 923-7878
Fax
(708) 923-7888
NPI assigned
Apr 3, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 309859 NY
Addiction Medicine (Psychiatry & Neurology) Physician 2084A0401X 036155757 IL Primary
Psychiatry Physician 2084P0800X 0101278437 VA

Addresses

Primary practice location

15300 West Ave Ste 313
Orland Park, IL 60462-4687

Mailing address

15300 West Ave Ste 313
Orland Park, IL 60462-4687
Phone (708) 923-7878

Other practice location 1

2501 Parkers Ln
Alexandria, VA 22306-3209
Phone (703) 664-7000

Other practice location 2

301 Prospect Ave
Syracuse, NY 13203-1807
Phone (315) 448-5111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, DC, IL3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20230130000683 NY Practitioner - Psychiatry 6103170493 Reassigns benefits to 1 organization
I20230706000723 DC Practitioner - Psychiatry 6103170493 Reassigns benefits to 2 organizations
I20250311001184 IL Practitioner - PsychiatryPractitioner - NeurologyPractitioner - Addiction Medicine 6103170493 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Addiction Medicine, Neurology
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Central Dupage Physician GroupGroup PAC ID 5890696231, 1,087 clinicians

Practice addresses (Care Compare)

15300 W Ave
Suite 313
Orland Park, IL 60462-4687
Phone (708) 923-7878

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101278437VAMDPsychiatry Physician
309859NYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St Josephs Hospital Health Center CurrentSince Dec 21, 2022 Accepting new patients
Inova Health Care Services CurrentSince May 15, 2023 Accepting new patients
Central Dupage Physician Group CurrentSince Apr 1, 2025 Accepting new patients
Virginia Hospital Center Physician Group LLC CurrentSince Jan 22, 2024 Accepting new patients
St. Joseph'S Pathology, PC Current Accepting new patients
Inova Health Care Services Psychiatry CurrentSince May 15, 2023 Accepting new patients
Virginia Hospital Center Physician Group LLC CurrentSince Jan 22, 2024 Accepting new patients
Central Dupage Physician Group CurrentSince Apr 1, 2025 Accepting new patients
Virginia Hospital Center Physician Group, LLC Current Accepting new patients
St Josephs Medical PC Past Accepting new patients

Locations

Carol Stream, IL 60122
Phone (630) 933-3300

Dept 5777
Carol Stream, IL 60122

15300 West Ave
Ste 313
Orland Park, IL 60462
Phone (708) 460-2721

1800 N Main St
Wheaton, IL 60187
Phone (630) 469-0045

301 Prospect Ave
Ste 706
Syracuse, NY 13203
Phone (315) 703-5200

301 Prospect Ave
Ofc
Syracuse, NY 13203
Phone (315) 448-2876

301 Prospect Ave
Syracuse, NY 13203
Phone (315) 448-5111

2501 Parkers Ln
Alexandria, VA 22306
Phone (703) 664-7000

1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000

8505 Arlington Blvd
Ste 200
Fairfax, VA 22031
Phone (703) 698-8525

Interoperability endpoints

  • Direct secure messaging: ndatta115451@uihealth.direct-ci.com
  • Direct secure messaging: ndatta2381682@direct.trinity-health.org

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1491177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741046400000",
    "number": "1093247405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15300 WEST AVE STE 313",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604624687",
            "telephone_number": "708-923-7878",
            "fax_number": "708-923-7888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15300 WEST AVE STE 313",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604624687",
            "telephone_number": "708-923-7878",
            "fax_number": "708-923-7888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2501 Parkers Ln",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "VA",
            "postal_code": "223063209",
            "country_code": "US",
            "telephone_number": "703-664-7000",
            "fax_number": "703-664-7666",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "301 Prospect Ave",
            "address_purpose": "LOCATION",
            "city": "Syracuse",
            "state": "NY",
            "postal_code": "132031807",
            "country_code": "US",
            "telephone_number": "315-448-5111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DATTA",
        "first_name": "NEHA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-03",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "309859",
            "primary": false
        },
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "IL",
            "license": "036155757",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101278437",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orland Park, IL

Sources for this page

Verify at the official NPI Registry.