Active NPI
Radhika Chimata, M.D.
- Psychiatry Physician
- Des Plaines, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 036150151
- Practice address
- 555 Wilson LN
Des Plaines, IL 60016-4729 - Phone
- (847) 768-5330
- Fax
- (847) 768-5341
- NPI assigned
- Jul 14, 2015
- Last updated
- Sep 6, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Medicine (Psychiatry & Neurology) Physician | 2084A0401X | 036.150511 | IL | |
| Psychiatry Physician | 2084P0800X | 036150151 | IL | Primary |
Addresses
Primary practice location
555 Wilson LN
Des Plaines, IL 60016-4729
Mailing address
1533 Balsam LN
Woodridge, IL 60517-4643
Phone (847) 768-5330
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
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
555 Wilson LN
Des Plaines, IL 60016-4729
Phone (212) 243-5565
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.150511 | IL | MD | Addiction Medicine (Psychiatry & Neurology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 2014 Health, LLC | Current | Accepting new patients | |
| Gateway Professional Services, PC | Current | Accepting new patients | |
| Gateway Professional Services, PC | Current | Accepting new patients | |
| BHC Streamwood Hospital Inc. | Current | Accepting new patients | |
| Gateway Professional Services, PC | Current | Accepting new patients |
Locations
400 Mercy Ln
Aurora, IL 60506
Phone (630) 966-7400
1080 E Park St
Carbondale, IL 62901
Phone (618) 529-1151
55 E Jackson Blvd
Ste 1500
Chicago, IL 60604
555 Wilson Ln
Des Plaines, IL 60016
Phone (212) 243-5565
1400 E Irving Park Rd
Streamwood, IL 60107
Phone (630) 483-5578
Interoperability endpoints
- rchimata58309@direct.et0946.epichosted.com
Organizations & group practices 5
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.
-
dba Chicago Behavioral Hospital
- Psychiatric Hospital
- Des Plaines, IL
- NPI 1083021877
-
dba Streamwood Behavioral Health Center
- Psychiatric Hospital
- Streamwood, IL
- NPI 1619916822
-
- Addiction (Substance Use Disorder) Counselor
- Chicago, IL
- NPI 1710528518
-
- Addiction (Substance Use Disorder) Counselor
- Caseyville, IL
- NPI 1316585797
-
- Adult Mental Health Clinic/Center
- Bloomington, IL
- NPI 1568164341
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693958400000",
"number": "1881078392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1533 BALSAM LN",
"city": "WOODRIDGE",
"state": "IL",
"postal_code": "605174643",
"telephone_number": "847-768-5330",
"fax_number": "847-768-5341"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 WILSON LN",
"city": "DES PLAINES",
"state": "IL",
"postal_code": "600164729",
"telephone_number": "847-768-5330",
"fax_number": "847-768-5341"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHIMATA",
"first_name": "RADHIKA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-14",
"last_updated": "2023-09-06",
"certification_date": "2023-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "2084A0401X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Addiction Medicine",
"state": "IL",
"license": "036.150511",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "IL",
"license": "036150151",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Des Plaines, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.