Active NPI
Rakesh Chandra, MD
- Psychiatry Physician
- Carbondale, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 036093240
- Practice address
- 1155 Cedar CT
Carbondale, IL 62901-5333 - Phone
- (618) 490-1045
- Fax
- (618) 319-1279
- NPI assigned
- Jun 26, 2006
- Last updated
- Mar 12, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 036093240 | IL | Primary |
Addresses
Primary practice location
1155 Cedar CT
Carbondale, IL 62901-5333
Mailing address
PO Box 155
Christopher, IL 62822-0155
Phone (618) 724-2401
Other practice location 1
1401 US Highway 45 N
Eldorado, IL 62930-3770
Phone (618) 273-2951
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 370966854011 | Medicaid | IL | |
| 370966854024 | Medicaid | IL | |
| 370966854006 | Medicaid | IL | |
| 036093240 | Medicaid | IL | |
| CF3444 | Other | IL | MEDICARE RR |
| P00830780 | Other | KY | RR MEDICARE |
| 6413098200 | Medicaid | KY | |
| 64130982 | Medicaid | KY | |
| 370966854023 | Medicaid | IL | |
| P00464595 | Other | KY | RR MEDICARE PIN # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, KY, MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1973
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Christopher Greater Area Rural Health Planning Corporation
Practice addresses (Care Compare)
1401 US Hwy 45 N
Eldorado, IL 62930-3770
Phone (618) 273-2951
760 Plantation Blvd
Sikeston, MO 63801-5736
Phone (573) 471-0800
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036093240 | IL | MD | Psychiatry Physician |
Practice roles
Locations
33 W Main St
Albion, IL 62806
Phone (618) 445-2287
206 E Church St
#B
Benton, IL 62812
Phone (618) 435-9888
1155 Cedar Ct
Carbondale, IL 62901
Phone (618) 490-1045
1175 Cedar Ct
Carbondale, IL 62901
Phone (618) 490-1045
103 Commerce St
Carmi, IL 62821
Phone (618) 384-5686
4241 Highway 14 W
Christopher, IL 62822
Phone (618) 724-1684
4241 State Highway 14
Christopher, IL 62822
Phone (618) 724-2136
1564 S Washington St
Du Quoin, IL 62832
Phone (618) 542-8702
1401 US Highway 45 N
Eldorado, IL 62930
Phone (618) 273-2951
1007 W Main St
Fairfield, IL 62837
Phone (618) 724-6612
165 Kinnaman Dr
Flora, IL 62839
Phone (618) 662-8386
14410 Route 37
Johnston City, IL 62951
Phone (618) 937-6409
2920 Veterans Memorial Dr
Mount Vernon, IL 62864
Phone (618) 244-6544
6294 State Highway 154
Sesser, IL 62884
Phone (618) 625-6679
9525 Gold Hill Rd
Shawneetown, IL 62984
Phone (618) 269-3454
1099 Medical Center Cir
Mayfield, KY 42066
Phone (270) 251-4100
760 Plantation Blvd
Sikeston, MO 63801
Phone 5734710800229
Interoperability endpoints
- rakesh.chandra@crhpc.eclinicaldirectplus.com
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Paducah, KY
- NPI 1689710899
Organizations & group practices 19
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Sikeston, MO
- NPI 1386789139
-
- Federally Qualified Health Center (FQHC)
- Christopher, IL
- NPI 1639159213
-
- Psychiatry Physician
- Carbondale, IL
- NPI 1700724796
-
dba Rea Clinic DuQuoin Facility
- Federally Qualified Health Center (FQHC)
- Du Quoin, IL
- NPI 1619957297
-
- Rural Health Clinic/Center
- Sikeston, MO
- NPI 1497064547
-
dba Eldorado Rural Health Clinic
- Federally Qualified Health Center (FQHC)
- Eldorado, IL
- NPI 1144200825
Psychiatry
-
dba Benton Mental Health Wellness Center
- Federally Qualified Health Center (FQHC)
- Benton, IL
- NPI 1447080205
-
dba Carmi Community Health Center
- Federally Qualified Health Center (FQHC)
- Carmi, IL
- NPI 1871867507
-
dba Pulaski Clinic
- Federally Qualified Health Center (FQHC)
- Pulaski, IL
- NPI 1063404523
-
dba Shawnee Health Care, Carbondale
- Federally Qualified Health Center (FQHC)
- Carbondale, IL
- NPI 1073745345
-
dba Shawnee Health Care, Carterville
- Federally Qualified Health Center (FQHC)
- Carterville, IL
- NPI 1811928732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773273600000",
"number": "1225065220",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 155",
"city": "CHRISTOPHER",
"state": "IL",
"postal_code": "628220155",
"telephone_number": "618-724-2401",
"fax_number": "618-319-1279"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1155 CEDAR CT",
"city": "CARBONDALE",
"state": "IL",
"postal_code": "629015333",
"telephone_number": "618-490-1045",
"fax_number": "618-319-1279"
}
],
"practiceLocations": [
{
"address_1": "1401 US Highway 45 N",
"address_purpose": "LOCATION",
"city": "Eldorado",
"state": "IL",
"postal_code": "629303770",
"country_code": "US",
"telephone_number": "618-273-2951",
"fax_number": "618-273-2712",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHANDRA",
"first_name": "RAKESH",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-26",
"last_updated": "2026-03-12",
"certification_date": "2026-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "IL",
"license": "036093240",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "370966854011",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "370966854024",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "370966854006",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036093240",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RR",
"identifier": "CF3444",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00830780",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6413098200",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64130982",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "370966854023",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE PIN #",
"identifier": "P00464595",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Carbondale, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2026; 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.