NPIMap

Individual provider Active NPI

Anoop Chacko Achanaril, MBBS

  • Neuroradiology Physician
  • Chicago, IL
National Provider Identifier
1891225256
Registry record updated Jun 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuroradiology PhysicianTaxonomy code 2085N0700X
License
125071841 Issued in IL
Practice address
1653 W. Congress Parkway, Jelke 181
Chicago, IL 60612
Phone
(312) 962-4186
Fax
(312) 962-7264
NPI assigned
Jun 18, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Neuroradiology Physician 2085N0700X 125071841 IL Primary

Addresses

Primary practice location

1653 W. Congress Parkway, Jelke 181
Chicago, IL 60612

Mailing address

1653 W Congress Pkwy # 181
Chicago, IL 60612-3833
Phone (312) 942-4184

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, CT, MA3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20220913001192 IL Practitioner - Diagnostic Radiology 5193084655 Reassigns benefits to 1 organization
I20231106002155 CT Practitioner - Diagnostic Radiology 5193084655 Reassigns benefits to 4 organizations
I20240215001314 MA Practitioner - Diagnostic Radiology 5193084655 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Farmington Imaging Center LLCGroup PAC ID 7719265651, 68 clinicians
Tic LLCGroup PAC ID 4880972819, 52 clinicians

Practice addresses (Care Compare)

399 Farmington Ave
FL 1
Farmington, CT 06032-1936
Phone (860) 289-3375

6 Fieldstone CMNS
Suite E
Tolland, CT 06084-3419
Phone (860) 896-4848

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jefferson Radiology, PC Neuroradiology CurrentSince Sep 3, 2023 Accepting new patients
Farmington Imaging Center, LLC Neuroradiology CurrentSince Sep 3, 2023 Accepting new patients
Tic, LLC CurrentSince Oct 9, 2023 Accepting new patients
Connecticut Imaging Partners, LLC Neuroradiology CurrentSince Nov 28, 2023 Accepting new patients

Locations

100 Hazard Ave
Ste 100
Enfield, CT 06082
Phone (860) 696-2380

399 Farmington Ave
Lowr 1
Farmington, CT 06032

85 Seymour St
Ste 200
Hartford, CT 06106
Phone (860) 246-6589

6 Fieldstone Cmns
Ste E
Tolland, CT 06084
Phone (860) 896-4847

1260 Silas Deane Hwy
Ste 104
Wethersfield, CT 06109
Phone (860) 563-7844

575 Beech St
Holyoke, MA 01040
Phone (413) 534-2570

115 W Silver St
Westfield, MA 01085
Phone (413) 562-3444

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/ei-jefferson

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 and National Provider Directory roles.

Hospital & facility affiliations 6

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": "1497744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561593600000",
    "number": "1891225256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1653 W CONGRESS PKWY # 181",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123833",
            "telephone_number": "312-942-4184",
            "fax_number": "312-942-7246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1653 W. CONGRESS PARKWAY, JELKE 181",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60612",
            "telephone_number": "312-962-4186",
            "fax_number": "312-962-7264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHACKO ACHANARIL",
        "first_name": "ANOOP",
        "credential": "MBBS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-18",
        "last_updated": "2019-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "IL",
            "license": "125071841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.