Individual provider Active NPI

Anand Ponnappan, MD

  • Otolaryngology Physician
  • Mattoon, IL
National Provider Identifier
1629124243
Registry record updated Feb 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
036123972 Issued in IL
Practice address
1005 Health Center Dr Ste 201
Mattoon, IL 61938-4653
Phone
(217) 258-2409
Fax
(217) 258-2323
NPI assigned
Jan 26, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 036123972 IL Primary

Addresses

Primary practice location

1005 Health Center Dr Ste 201
Mattoon, IL 61938-4653

Mailing address

147 S Delaplaine Rd
Riverside, IL 60546-2371
Phone (708) 853-9367

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
I20100125000784 IL Practitioner - Otolaryngology 0143362434 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Ohio State University College of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sarah Bush Lincoln Health CenterGroup PAC ID 5092614867, 411 clinicians

Practice addresses (Care Compare)

1005 Health Ctr Dr
Suite 201
Mattoon, IL 61938-4653
Phone (217) 258-2409

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Carle Health Care Incorporated CurrentSince Nov 20, 2024 Accepting new patients
Sarah Bush Lincoln Health Center CurrentSince Jul 14, 2025 Accepting new patients
Head & Neck Cosmetic Surgery Associates LLC Otolaryngology CurrentSince May 1, 2023 Accepting new patients
Sarah Bush Lincoln Health Center CurrentSince Jul 14, 2025 Accepting new patients
Presence Healthcare Services PastSince May 1, 2023 Accepting new patients

Locations

3340 Oak Park Ave
Ste 204
Berwyn, IL 60402
Phone (708) 749-3070

3000 N Halsted St
Ste 400
Chicago, IL 60657
Phone (773) 296-5500

1005 Health Center Dr
Ste 201
Mattoon, IL 61938
Phone (217) 238-6055

1000 Health Center Dr
Mattoon, IL 61938
Phone (217) 258-2389

1007 Health Center Dr
Mattoon, IL 61938
Phone (217) 258-7400

101 Professional Plz
Mattoon, IL 61938
Phone (217) 238-3730

611 W Park St
Urbana, IL 61801
Phone (217) 383-6941

Interoperability endpoints

  • Direct secure messaging: aponnappan37089@direct.rush.rush-health.com
  • Direct secure messaging: aponnappanmd428419@carlehiedirect.net

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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770854400000",
    "number": "1629124243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 S DELAPLAINE RD",
            "city": "RIVERSIDE",
            "state": "IL",
            "postal_code": "605462371",
            "telephone_number": "708-853-9367",
            "fax_number": "708-659-4997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 HEALTH CENTER DR STE 201",
            "city": "MATTOON",
            "state": "IL",
            "postal_code": "619384653",
            "telephone_number": "217-258-2409",
            "fax_number": "217-258-2323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PONNAPPAN",
        "first_name": "ANAND",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-26",
        "last_updated": "2026-02-12",
        "certification_date": "2026-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "IL",
            "license": "036123972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mattoon, IL

Sources for this page

Verify at the official NPI Registry.