Active NPI
Chrisantha Ernest Anandappa, M.D.
- Psychiatry Physician
- Evanston, IL
National Provider Identifier
1154582385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 036.132734
- Practice address
- 1007 Church St Ste 312
Evanston, IL 60201-5912 - Phone
- (844) 215-4468
- Fax
- (877) 428-7891
- NPI assigned
- Jun 20, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 036.132734 | IL | Primary |
| Psychiatry Physician | 2084P0800X | 4301092315 | MI |
Addresses
Primary practice location
1007 Church St Ste 312
Evanston, IL 60201-5912
Mailing address
702 Asbury Ave
Evanston, IL 60202-2135
Phone (708) 557-1930
Other practice location 1
1535 Lake Cook Rd Ste 110
Northbrook, IL 60062-1450
Phone (866) 729-1012 ext. 1035
Other practice location 2
702 Asbury Ave
Evanston, IL 60202-2135
Phone (708) 557-1930
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
- Opted out of Medicare
- Yes, effective Feb 28, 2018 through Feb 29, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chrisantha E Anandappa MD | Current | Accepting new patients | |
| Chrisantha Anandappa MD | Current | Accepting new patients |
Locations
2500 W Bradley Pl
Ste 100
Chicago, IL 60618
Phone (224) 306-1879
Interoperability endpoints
- lifestancehealth.chrisanthaanandappa@146897.advancedmd-direct.com
Organizations & group practices 2
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.
-
- Adult Mental Health Clinic/Center
- Chicago, IL
- NPI 1376058016
-
- Adult Mental Health Clinic/Center
- Chicago, IL
- NPI 1588179360
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735516800000",
"number": "1154582385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "702 ASBURY AVE",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602022135",
"telephone_number": "708-557-1930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1007 CHURCH ST STE 312",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602015912",
"telephone_number": "844-215-4468",
"fax_number": "877-428-7891"
}
],
"practiceLocations": [
{
"address_1": "1535 Lake Cook Rd Ste 110",
"address_purpose": "LOCATION",
"city": "Northbrook",
"state": "IL",
"postal_code": "600621450",
"country_code": "US",
"telephone_number": "866-729-1012 x1035",
"fax_number": "847-919-6871",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "702 Asbury Ave",
"address_purpose": "LOCATION",
"city": "Evanston",
"state": "IL",
"postal_code": "602022135",
"country_code": "US",
"telephone_number": "708-557-1930",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ANANDAPPA",
"first_name": "CHRISANTHA",
"middle_name": "ERNEST",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-06-20",
"last_updated": "2024-12-30",
"certification_date": "2024-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "IL",
"license": "036.132734",
"primary": true
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MI",
"license": "4301092315",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Evanston, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2024; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.