Indrany Datta-Barua, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

036.143826 Issued in IL

Practice address

25 E Washington St Ste 1805
Chicago, IL 60602-1829

Phone

(312) 782-5959

Fax

(312) 782-5960

NPI assigned

Jul 23, 2013

Last updated

Jan 17, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Previously, effective Oct 22, 2018 through Oct 22, 2026

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1374537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579219200000",
    "number": "1811339401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 E WASHINGTON ST STE 1805",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606021829",
            "telephone_number": "312-782-5959",
            "fax_number": "312-782-5960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 E WASHINGTON ST STE 1805",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606021829",
            "telephone_number": "312-782-5959",
            "fax_number": "312-782-5960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DATTA-BARUA",
        "first_name": "INDRANY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-23",
        "last_updated": "2020-01-17",
        "certification_date": "2020-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036.143826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Revati Mohan Date
• Keaira Dates
• Katherine Dato, DNP
• Amanda M. Datson, OTR/L
• Datta Sambare M D S C (Madison Parkside Medical Center)
• Swati Datta, D.O.
• Karen Dattalo, PHARMD
• Melanie Datu, PHARMD
• Trang Dau, MD
• Sam Dauahera, DDS

• Psychiatry Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Psychiatry Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2020; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.