Individual provider Active NPI

David Anyadike, M.D.

  • Pediatrics Physician
  • Chicago, IL
National Provider Identifier
1700956695
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
036109277 Issued in IL
Practice address
2738 W Cermak Rd
Chicago, IL 60608-3528
Phone
(773) 376-1906
Fax
(773) 376-1909
NPI assigned
Nov 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 036109277 IL Primary

Addresses

Primary practice location

2738 W Cermak Rd
Chicago, IL 60608-3528

Mailing address

3037 W Polk Street
Unit 1
Chicago, IL 60612-3906
Phone (773) 826-6282

Other identifiers 1

IdentifierTypeStateIssuer
036109277MedicaidIL

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
I20131227000208 IL Practitioner - Pediatric Medicine 3476780255 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036109277ILMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Board of Trustees of the University of Illinois Current Accepting new patients
The Board of Trustees of the University of Illinois Pediatrics CurrentSince Mar 1, 2022 Accepting new patients
The Board of Trustees of the University of Illinois CurrentSince Jan 1, 2022 Accepting new patients
The Board of Trustees of the University of Illinois Current Accepting new patients
The Board of Trustees of the University of Illinois CurrentSince Jan 1, 2022 Accepting new patients
Board of Trustees of the University of Illinois Pediatrics Past Accepting new patients

Locations

7732 Solutions Ctr
Chicago, IL 60677

839 W 79th St
Chicago, IL 60620
Phone (312) 492-1220

840 S Wood St
#856
Chicago, IL 60612
Phone (312) 413-1429

7702 Solution Ctr
Chicago, IL 60677

1220 S Wood St
Chicago, IL 60608
Phone (312) 413-1261

8131 S May St
Chicago, IL 60620
Phone (312) 365-5801

7732 Solution Ctr
Chicago, IL 60677
Phone (312) 355-4210

Interoperability endpoints

  • Direct secure messaging: danyadike134017@uihealth.direct-ci.com

Organizations & group practices 6

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": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700956695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3037 W POLK STREET",
            "address_2": "UNIT 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123906",
            "telephone_number": "773-826-6282",
            "fax_number": "773-376-1909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2738 W CERMAK RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606083528",
            "telephone_number": "773-376-1906",
            "fax_number": "773-376-1909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANYADIKE",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036109277",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036109277",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.