Shastri Swaminathan, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

036052238 Issued in IL

Practice address

1011 W Wellington Ave
Chicago, IL 60657-4325

Phone

(773) 883-0200

Fax

(773) 883-0090

NPI assigned

May 19, 2006

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Chicago Physician Associates,LLC

  • Psychiatry Physician
  • Chicago, IL
  • NPI 1568661072
  NPD (past) Authorized official
• Dixon F Spivy MD, LLC

  • Neurology Physician
  • Chicago, IL
  • NPI 1396944807

  Psychiatry

  NPD (past)

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1235182130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 W WELLINGTON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606574325",
            "telephone_number": "773-883-0200",
            "fax_number": "773-883-0090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 W WELLINGTON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606574325",
            "telephone_number": "773-883-0200",
            "fax_number": "773-883-0090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWAMINATHAN",
        "first_name": "SHASTRI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036052238",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036052238",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Frances Swaine, LMT
• Awni H Swais, PHARM.D.
• Elizabeth Niebuhr Swakow, DPT
• James Arthur Swakow, MD
• Deanna Lindsay Swallow
• Anita Narayan Swamy, M.D.
• Javaraiah Swamy, M.D.
• Varsha Swamy, MD
• Ashley Swan, DMD
• Carsen Marie Swan, LCSW

• Psychiatry Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Psychiatry Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.