Individual provider Active NPI

Anna Rapoport, M.D.

  • Diagnostic Neuroimaging (Psychiatry & Neurology) Physician
  • Skokie, IL
National Provider Identifier
1356565618
Registry record updated Aug 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Neuroimaging (Psychiatry & Neurology) PhysicianTaxonomy code 2084D0003X
License
036099323 Issued in IL
Practice address
9933 Lawler Ave Suite 425
Skokie, IL 60077-3781
Phone
(847) 687-9487
NPI assigned
Apr 11, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Neuroimaging (Psychiatry & Neurology) Physician 2084D0003X 036099323 IL Primary

Addresses

Primary practice location

9933 Lawler Ave Suite 425
Skokie, IL 60077-3781

Mailing address

9933 Lawler Ave Ste 425
Skokie, IL 60077-3781
Phone (847) 604-1151

Other identifiers 1

IdentifierTypeStateIssuer
036099323MedicaidIL

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
I20080425000607 IL Practitioner - Psychiatry 8224116546 Practice locations: Evanston, IL; Wilmette, IL; Skokie, IL; Northbrook, IL; Glenview, IL; Chicago, IL

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1196 Hohlfelder Rd
Glencoe, IL 60022-1050

2625 W Touhy Ave
Chicago, IL 60645-3109
Phone (773) 973-5333

500 Asbury Ave
Evanston, IL 60202-2724
Phone (847) 316-3320

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036099323ILMDDiagnostic Neuroimaging (Psychiatry & Neurology) Physician

NPI Registry JSON

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440028800000",
    "number": "1356565618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9933 LAWLER AVE STE 425",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600773781",
            "telephone_number": "847-604-1151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9933 LAWLER AVE SUITE 425",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600773781",
            "telephone_number": "847-687-9487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAPOPORT",
        "first_name": "ANNA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-11",
        "last_updated": "2015-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084D0003X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Diagnostic Neuroimaging",
            "state": "IL",
            "license": "036099323",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036099323",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Skokie, IL

Sources for this page

Verify at the official NPI Registry.