Individual provider Active NPI

Anita Chandrathil Manogura, MD

  • Maternal & Fetal Medicine Physician
  • Elgin, IL
National Provider Identifier
1124176987
Registry record updated Oct 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
036-108204 Issued in IL
Practice address
1425 N Randall Rd
Sherman Hosp Ste 1-2150
Elgin, IL 60123-2300
Phone
(224) 773-8975
NPI assigned
Jan 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine Physician 207VM0101X 036-108204 IL Primary

Addresses

Primary practice location

1425 N Randall Rd
Sherman Hosp Ste 1-2150
Elgin, IL 60123-2300

Mailing address

29373 Network PL
Chicago, IL 60673-1293
Phone (847) 390-5900

Other practice location 1

3000 N Halsted St Ste 209A
Chicago, IL 60657-5190
Phone (773) 296-7660

Other practice location 2

2020 Ogden Ave Ste 260
Aurora, IL 60504-5896
Phone (630) 898-6409

Other identifiers 1

IdentifierTypeStateIssuer
1124176987OtherINDIVIDUAL NPI

Other names 1

  • Anita Achamma Chandrathil Former name

Electronic endpoints 4

TypeEndpointUseAffiliation
Direct Messaging Address amanogura205075@direct.myadvocateaurora.org Direct
Direct Messaging Address amanogura205075@direct.myadvocateaurora.org
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
FHIR URL https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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

Enrollment IDStateProvider typePAC IDDetails
I20141103000038 IL Practitioner - Obstetrics/Gynecology 3476653676 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Rush Medical College of Rush University, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rush University Medical GroupGroup PAC ID 5496658874, 1,521 clinicians
Advocate Health and Hospitals CorporationGroup PAC ID 7810800935, shared by 39 NPIs, 3,081 clinicians

Practice addresses (Care Compare)

1700 W Van Buren St
Chicago, IL 60612-5500
Phone (312) 563-2875

2000 Ogden Ave
Aurora, IL 60504-7222
Phone (312) 942-6800

3310 W Main St
Suite 200
St Charles, IL 60175-1024
Phone (630) 897-6044

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-108204ILMDMaternal & Fetal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advocate Health and Hospitals Corporation CurrentSince Oct 1, 2022 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Sep 8, 2014 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Sep 8, 2014 Accepting new patients
Rush University Medical Group Family Medicine CurrentSince Aug 1, 2025 Accepting new patients
Rush University Medical Center CurrentSince Aug 1, 2025 Accepting new patients
Copley Memorial Hospital, Inc. Family Medicine CurrentSince Jul 1, 2023 Accepting new patients
Obstetrix Medical Group of Phoenix PC Past Accepting new patients
Maternal Fetal Consultants, SC PastSince Nov 1, 2005 Accepting new patients
Copley Memorial Hospital Inc. Family Medicine Past Accepting new patients
Obstetrix Medical Group of Phoenix PC Maternal & Fetal Medicine Past Accepting new patients
Midwest Perinatal Consultants, SC Past Accepting new patients

Locations

2000 Ogden Ave
Aurora, IL 60504
Phone (630) 466-8200

2020 Ogden Ave
Ste 260
Aurora, IL 60504
Phone (630) 499-4774

2357 Sequoia Dr
Aurora, IL 60506
Phone (630) 859-6700

1221 N Highland Ave
Aurora, IL 60506
Phone (630) 859-6700

214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160

28594 Network Pl
Chicago, IL 60673

1044 N Francisco Ave
Chicago, IL 60622
Phone (773) 292-8227

29373 Network Pl
Chicago, IL 60673

1700 W Van Buren St
#500
Chicago, IL 60612
Phone (312) 563-2875

75 Remittance Dr
Dept 1611
Chicago, IL 60675

1425 N Randall Rd
Ste 12150
Elgin, IL 60123
Phone (224) 773-8975

1425 N Randall Rd
Fl 1
Elgin, IL 60123

3310 W Main St
Ste 200
St Charles, IL 60175
Phone (630) 897-6044

Interoperability endpoints

  • Direct secure messaging: amanogura205075@direct.myadvocateaurora.org

Organizations & group practices 12

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": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760572800000",
    "number": "1124176987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29373 NETWORK PL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606731293",
            "telephone_number": "847-390-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 N RANDALL RD",
            "address_2": "SHERMAN HOSP STE 1-2150",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601232300",
            "telephone_number": "224-773-8975"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3000 N Halsted St Ste 209A",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606575190",
            "country_code": "US",
            "telephone_number": "773-296-7660",
            "fax_number": "773-296-7666",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2020 Ogden Ave Ste 260",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "IL",
            "postal_code": "605045896",
            "country_code": "US",
            "telephone_number": "630-898-6409",
            "fax_number": "630-898-3646",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANOGURA",
        "first_name": "ANITA",
        "middle_name": "CHANDRATHIL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2025-10-16",
        "certification_date": "2025-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "IL",
            "license": "036-108204",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1124176987",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amanogura205075@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1425 N Randall Rd",
            "address_2": "Sherman Hosp Ste 1-2150",
            "city": "Elgin",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601232300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amanogura205075@direct.myadvocateaurora.org",
            "affiliation": "N",
            "address_1": "1425 N Randall Rd",
            "address_2": "Sherman Hosp Ste 1-2150",
            "city": "Elgin",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601232300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "1425 N Randall Rd",
            "address_2": "Sherman Hosp Ste 1-2150",
            "city": "Elgin",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601232300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "1425 N Randall Rd",
            "address_2": "Sherman Hosp Ste 1-2150",
            "city": "Elgin",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601232300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ANITA",
            "last_name": "CHANDRATHIL",
            "middle_name": "ACHAMMA",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Elgin, IL

Sources for this page

Verify at the official NPI Registry.