Individual provider Active NPI

Tanmoy Chandra, M.D.

  • Psychiatry Physician
  • Plainfield, IL
National Provider Identifier
1285719260
Registry record updated Nov 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
036-109961 Issued in IL
Practice address
24600 W 127TH St Ste B325
Plainfield, IL 60585-9527
Phone
(815) 731-9100
Fax
(815) 731-9110
NPI assigned
Oct 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 036-109961 IL Primary

Addresses

Primary practice location

24600 W 127TH St Ste B325
Plainfield, IL 60585-9527

Mailing address

24600 W 127TH St Ste B325
Plainfield, IL 60585-9527
Phone (815) 731-9100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040108000969 IL Practitioner - Psychiatry 2668372558 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036-109961ILMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Edward Health Ventures CurrentSince Aug 1, 2016 Accepting new patients
Edward Health Ventures CurrentSince Aug 1, 2016 Accepting new patients
Riaz Baber MD SC PastSince Jun 1, 2001 Accepting new patients
Treadway Clinic Psychiatry Past Accepting new patients
Psych Services LLC PastSince Dec 10, 2001 Accepting new patients

Locations

120 Spalding Dr
Ste 101
Naperville, IL 60540
Phone (630) 527-7730

120 Spalding Dr
Ste 310
Naperville, IL 60540
Phone (630) 527-5575

120 Osler
Lowr
Naperville, IL 60540
Phone (630) 527-5354

24600 W 127th St
Ste B325
Plainfield, IL 60585
Phone (815) 731-9100

Interoperability endpoints

  • Direct secure messaging: tanmoy.chandra.1@13826.direct.athenahealth.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478217600000",
    "number": "1285719260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24600 W 127TH ST STE B325",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605859527",
            "telephone_number": "815-731-9100",
            "fax_number": "815-731-9910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24600 W 127TH ST STE B325",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605859527",
            "telephone_number": "815-731-9100",
            "fax_number": "815-731-9110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANDRA",
        "first_name": "TANMOY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2016-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036-109961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainfield, IL

Sources for this page

Verify at the official NPI Registry.