Active NPI
Nageswararao Vallabhaneni, MD PSYCHIATRIST
- Psychiatry Physician
- Chester, IL
National Provider Identifier
1215925656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Practice address
- 1315 Lehmen Dr
Chester, IL 62233-0031 - Phone
- (618) 826-4571
- Fax
- (618) 826-3229
- NPI assigned
- Oct 10, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | IL | Primary |
Addresses
Primary practice location
1315 Lehmen Dr
Chester, IL 62233-0031
Mailing address
12831 Hickory Woods Dr
Saint Louis, MO 63131-1828
Phone (314) 966-8746
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036057346 | IL | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1215925656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12831 HICKORY WOODS DR",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631311828",
"telephone_number": "314-966-8746"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1315 LEHMEN DR",
"city": "CHESTER",
"state": "IL",
"postal_code": "622330031",
"telephone_number": "618-826-4571",
"fax_number": "618-826-3229"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALLABHANENI",
"first_name": "NAGESWARARAO",
"credential": "MD PSYCHIATRIST",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-10",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chester, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.