Active NPI
Eugene C Anandappa, M.D.
- Neuroradiology Physician
- Chicago, IL
National Provider Identifier
1265432322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neuroradiology Physician
- License
- 036046421
- Practice address
- 225 E Chicago Ave # 9
Chicago, IL 60611-2991 - Phone
- (312) 227-4500
- Fax
- (312) 227-9785
- NPI assigned
- Jul 29, 2005
- Last updated
- Nov 12, 2019
- 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 |
|---|---|---|---|---|
| Neuroradiology Physician | 2085N0700X | 036046421 | IL | Primary |
Addresses
Primary practice location
225 E Chicago Ave # 9
Chicago, IL 60611-2991
Mailing address
225 E Chicago Ave # 9
Chicago, IL 60611-2991
Phone (312) 227-4500
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 021622158 | Other | IL | CMMG BLUE SHIELD NUMBER |
| 036046421 | Medicaid | IL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | eanandappa@luriechildrens.org |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573516800000",
"number": "1265432322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 E CHICAGO AVE # 9",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606112991",
"telephone_number": "312-227-4500",
"fax_number": "312-227-9785"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 E CHICAGO AVE # 9",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606112991",
"telephone_number": "312-227-4500",
"fax_number": "312-227-9785"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANANDAPPA",
"first_name": "EUGENE",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-29",
"last_updated": "2019-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "2085N0700X",
"taxonomy_group": "",
"desc": "Radiology, Neuroradiology",
"state": "IL",
"license": "036046421",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CMMG BLUE SHIELD NUMBER",
"identifier": "021622158",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036046421",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "eanandappa@luriechildrens.org",
"affiliation": "N",
"address_1": "225 E Chicago Ave # 9",
"city": "Chicago",
"state": "IL",
"country_code": "US",
"postal_code": "606112991",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.