Individual provider Active NPI

Sneha Abichandani, M.D

  • Pediatrics Physician
  • Chicago, IL
National Provider Identifier
1346505286
Registry record updated Dec 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
036.145878 Issued in IL
Practice address
5843 South Western
Chicago, IL 60636
Phone
(773) 434-8600
NPI assigned
Jul 6, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 23, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 4301100446 MI
Pediatrics Physician 208000000X 036145878 IL
Pediatrics Physician 208000000X 036.145878 IL Primary

Addresses

Primary practice location

5843 South Western
Chicago, IL 60636

Mailing address

800 East 55TH Street
Chicago, IL 60615
Phone (773) 702-0660

Other names 1

  • Ms. Fnu Sneha Former name

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
I20200309000535 IL Practitioner - Pediatric Medicine 8022326339 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
137639CAMDMarriage & Family Therapist
036.145878ILMDPediatrics Physician
4301100446MIMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Friend Family Health Center Inc Current Accepting new patients
Friend Family Health Center Inc CurrentSince Jan 20, 2020 Accepting new patients

Locations

1522 E 63rd St
Chicago, IL 60637
Phone (773) 795-2260

800 E 55th St
Chicago, IL 60615
Phone (773) 702-2193

5843 S Western Ave
Chicago, IL 60636
Phone (773) 434-8600

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1341532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577059200000",
    "number": "1346505286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 EAST 55TH STREET",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60615",
            "telephone_number": "773-702-0660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5843 SOUTH WESTERN",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60636",
            "telephone_number": "773-434-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABICHANDANI",
        "first_name": "SNEHA",
        "name_prefix": "Mrs.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-06",
        "last_updated": "2019-12-23",
        "certification_date": "2019-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301100446",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036145878",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036.145878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FNU",
            "last_name": "SNEHA",
            "prefix": "MS.",
            "credential": "M.D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.