Active NPI
Anita Lall Kewalramani, MD
- Pediatrics Physician
- Darien, IL
National Provider Identifier
1811045842
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A96602
- Practice address
- 1306 Plainfield Rd
Darien, IL 60561 - Phone
- (630) 810-0900
- Fax
- (630) 810-0937
- NPI assigned
- Jan 8, 2007
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A96602 | CA | Primary |
Addresses
Primary practice location
1306 Plainfield Rd
Darien, IL 60561
Mailing address
1306 Plainfield Rd
Darien, IL 60561-2703
Phone (630) 810-0900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A96602 | CA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dupage Pediatrics | Past | Accepting new patients | |
| Lurie Children'S Medical Group Inc | Pediatrics | Past | Accepting new patients |
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.
-
- Health Maintenance Organization
- Darien, IL
- NPI 1437136256
-
- Pediatrics Physician
- Chicago, IL
- NPI 1518064716
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586908800000",
"number": "1811045842",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1306 PLAINFIELD RD",
"city": "DARIEN",
"state": "IL",
"postal_code": "605612703",
"telephone_number": "630-810-0900",
"fax_number": "630-810-0937"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1306 PLAINFIELD RD",
"city": "DARIEN",
"state": "IL",
"postal_code": "60561",
"telephone_number": "630-810-0900",
"fax_number": "630-810-0937"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEWALRAMANI",
"first_name": "ANITA",
"middle_name": "LALL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-08",
"last_updated": "2020-04-15",
"certification_date": "2020-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A96602",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Darien, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.