Individual provider Active NPI

Thodur M Ranganathan, M.D.

  • Psychiatry Physician
  • Chicago, IL
National Provider Identifier
1841269727
Registry record updated Jul 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
036-081441 Issued in IL
Practice address
7531 S Stony Island Ave
Chicago, IL 60649-3954
Phone
(773) 947-7900
Fax
(773) 947-7901
NPI assigned
Mar 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 036-081441 IL Primary

Addresses

Primary practice location

7531 S Stony Island Ave
Chicago, IL 60649-3954

Mailing address

13290 Fox Hill Dr
Lemont, IL 60439-8194
Phone (630) 257-0885

Other identifiers 1

IdentifierTypeStateIssuer
036-081441MedicaidIL

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
I20040719001341 IL Practitioner - Psychiatry 1456330703 Reassigns benefits to 5 organizations
Practice locations: Chicago, IL; Forest Park, IL

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ranganathan T LTDGroup PAC ID 4284060484, 5 clinicians

Practice addresses (Care Compare)

555 Wilson LN
Des Plaines, IL 60016-4729
Phone (248) 699-7850

Hospital & facility affiliations

  • Loretto Hospital Hospital, Chicago, IL, CCN 140083
  • Advocate Lutheran General Hospital Hospital, Park Ridge, IL, CCN 140223

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-081441ILMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Silver Oaks Behavioral, LLC CurrentSince Nov 29, 2021 Accepting new patients
V Covington, LLC CurrentSince Mar 1, 2018 Accepting new patients
Metropolitan Behavioral Associates, Inc. Psychiatry CurrentSince Apr 27, 2018 Accepting new patients
Friedell Clinic, S. C. Psychiatry CurrentSince Jun 5, 2019 Accepting new patients
Jackson Park Hospital Foundation Current Accepting new patients
Ranganathan T LTD Psychiatry CurrentSince Sep 8, 2009 Accepting new patients
Metropolitan Family Services Past Accepting new patients
Optimum Kidney Care SC Past Accepting new patients
Metropolitan Family Services Past Accepting new patients

Locations

190 E Delaware Pl
Chicago, IL 60611
Phone (312) 944-0063

7531 S Stony Island Ave
Chicago, IL 60649
Phone (773) 947-7310

555 Wilson Ln
Des Plaines, IL 60016
Phone (212) 243-5565

1004 Pawlak Pkwy
New Lenox, IL 60451
Phone (815) 215-3300

2615 Washington St
Waukegan, IL 60085
Phone (847) 249-3900

Interoperability endpoints

  • Direct secure messaging: thodurranganathan@jph.medalliesdirect.net

Organizations & group practices 9

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.

Hospital & facility affiliations 2

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": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469577600000",
    "number": "1841269727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13290 FOX HILL DR",
            "city": "LEMONT",
            "state": "IL",
            "postal_code": "604398194",
            "telephone_number": "630-257-0885",
            "fax_number": "630-257-0875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7531 S STONY ISLAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606493954",
            "telephone_number": "773-947-7900",
            "fax_number": "773-947-7901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANGANATHAN",
        "first_name": "THODUR",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2016-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036-081441",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036-081441",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.