Individual provider Active NPI

Anudeep Dasaraju

  • Emergency Medicine Physician
  • Chicago, IL
National Provider Identifier
1811456601
Registry record updated May 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
036169391 Issued in IL
Practice address
1740 W Taylor St
Chicago, IL 60612-7232
Phone
(866) 600-2273
NPI assigned
Mar 19, 2019
Last updated
May 12, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 35.149435 OH
Emergency Medicine Physician 207P00000X 036169391 IL Primary

Addresses

Primary practice location

1740 W Taylor St
Chicago, IL 60612-7232

Mailing address

4528 Springhurst Dr
Plano, TX 75074-0225

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OH, IL3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20220711002020 TX Practitioner - Emergency Medicine 2961734140 Reassigns benefits to 5 organizations
I20240119001445 OH Practitioner - Emergency Medicine 2961734140 Reassigns benefits to 3 organizations
I20250221000827 IL Practitioner - Emergency Medicine 2961734140 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nocona Hospital DistrictGroup PAC ID 5395786180, 23 clinicians
Sound Physicians Emergency Medicine of Texas PLLCGroup PAC ID 9739449802, 112 clinicians

Practice addresses (Care Compare)

100 Park Rd
Nocona, TX 76255-3616
Phone (940) 825-3235

1900 College Ave
Levelland, TX 79336-6508
Phone (806) 894-4963

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036169391ILMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Professional Services, Inc. Emergency Medicine CurrentSince Jan 1, 2024 Accepting new patients
Ohio Emergency Care Services, Inc Emergency Medicine CurrentSince Jan 1, 2024 Accepting new patients
Emergency Associates of Central Texas PA Emergency Medicine CurrentSince Apr 1, 2023 Accepting new patients
Emergency Medicine Services of TX, PLLC Emergency Medicine CurrentSince Aug 1, 2023 Accepting new patients
Sound Physicians Emergency Medicine of Texas PLLC Emergency Medicine CurrentSince Jan 5, 2026 Accepting new patients
Central PA Pharmacy LLC. Current Accepting new patients
Hospitalist Medicine Physicians of Texas - Houston, PLLC Emergency Medicine CurrentSince Oct 1, 2022 Accepting new patients
Osf Multi-Specialty Group CurrentSince Feb 14, 2025 Accepting new patients
Travis County Emergency Physicians PA Emergency Medicine CurrentSince Jun 1, 2022 Accepting new patients
Ohio Emergency Professionals Inc Emergency Medicine CurrentSince Jan 1, 2024 Accepting new patients

Locations (25 of 30)

403 E 1st St
Dixon, IL 61021
Phone (815) 285-5629

8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050

307 S Evergreen Ave
Woodbury, NJ 08096
Phone (856) 686-4300

600 N Pickaway St
Circleville, OH 43113
Phone (614) 352-6479

561 W Central Ave
Delaware, OH 43015
Phone (614) 566-9983

7853 Pacer Dr
Delaware, OH 43015
Phone (614) 355-7900

630 Eaton Ave
Hamilton, OH 45013
Phone (513) 867-2000

1000 McKinley Park Dr
Marion, OH 43302
Phone (740) 383-8400

18697 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 816-8000

651 W Marion Rd
Mount Gilead, OH 43338
Phone (419) 946-5015

7900 Ranch Road 1826
Austin, TX 78737
Phone (512) 324-5305

3280 Joe Battle Blvd
El Paso, TX 79938
Phone (915) 577-6000

225 E Parkwood Ave
Friendswood, TX 77546
Phone (281) 549-9400

12141 Richmond Ave
Houston, TX 77082
Phone (281) 558-3444

2615 Southwest Fwy
Ste 140
Houston, TX 77098
Phone (713) 441-2779

6191 E Sam Houston Pkwy N
#B
Houston, TX 77049
Phone (713) 295-5300

1275 Marvin Hancock Dr
Jasper, TX 75951
Phone (409) 384-1951

850 W Central Texas Expy
Killeen, TX 76548
Phone (254) 690-0900

6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000

1310 E League City Pkwy
League City, TX 77573
Phone (346) 427-5050

1900 College Ave
Levelland, TX 79336
Phone (806) 894-3141

3640 Hampton Dr
Missouri City, TX 77459
Phone (281) 778-5144

4000 Spencer Hwy
Pasadena, TX 77504
Phone (713) 359-1000

11100 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 770-7000

11525 Broadway St
Pearland, TX 77584
Phone (713) 363-8020

Interoperability endpoints

  • Direct secure messaging: adasaraju575762@ahs.direct-ci.com

Organizations & group practices 11

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.

Hospital & facility affiliations 5

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": "1552953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747008000000",
    "number": "1811456601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4528 SPRINGHURST DR",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750740225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 W TAYLOR ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606127232",
            "telephone_number": "866-600-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DASARAJU",
        "first_name": "ANUDEEP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-19",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "35.149435",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036169391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.