Active NPI
Rekha Bandla Kasi, DO
- Psychiatry Physician
- Chicago, IL
National Provider Identifier
1750680120
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 036137844
- Practice address
- 2150 W Harrison St
Chicago, IL 60612 - Phone
- (312) 942-7498
- Fax
- (312) 942-3186
- NPI assigned
- Mar 24, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 036137844 | IL | Primary |
Addresses
Primary practice location
2150 W Harrison St
Chicago, IL 60612
Mailing address
2150 W Harrison St
Chicago, IL 60612-3706
Phone (312) 942-7498
Other names 1
- Rekha Bandla
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036137844 | IL | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rush University Medical Group | Current | Accepting new patients |
Locations
75 Remittance Dr
Dept 1611
Chicago, IL 60675
1645 W Jackson Blvd
Ste 602
Chicago, IL 60612
Phone (312) 942-8387
2150 W Harrison St
Chicago, IL 60612
Phone (312) 563-1212
1700 W Van Buren St
#500
Chicago, IL 60612
Phone (312) 563-2875
Interoperability endpoints
- rbandla118419@direct.rush.rush-health.com
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Chicago, IL
- NPI 1093819542
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536192000000",
"number": "1750680120",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2150 W HARRISON ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606123706",
"telephone_number": "312-942-7498",
"fax_number": "312-942-3186"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2150 W HARRISON ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60612",
"telephone_number": "312-942-7498",
"fax_number": "312-942-3186"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KASI",
"first_name": "REKHA",
"middle_name": "BANDLA",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-03-24",
"last_updated": "2018-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "IL",
"license": "036137844",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "REKHA",
"last_name": "BANDLA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.