Active NPI
Meenakshi Shivaram Denduluri, M.D.
- Psychiatry Physician
- Chicago, IL
National Provider Identifier
1942663497
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 036.164393
- Practice address
- 25 E Washington St Ste 1805
Chicago, IL 60602-1829 - Phone
- (312) 782-5959
- Fax
- (312) 782-5960
- NPI assigned
- Apr 1, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 036.164393 | IL | Primary |
Addresses
Primary practice location
25 E Washington St Ste 1805
Chicago, IL 60602-1829
Mailing address
25 E Washington St Ste 1805
Chicago, IL 60602-1829
Phone (312) 782-5959
Other names 1
- Meenakshi Ranjani Shivaram
Medicare participation
Medicare enrollment files- 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
- Opted out of Medicare
- Yes, effective Apr 24, 2023 through Apr 24, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.164393 | IL | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stanford Health Care | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Acute Care Hospital
- Stanford, CA
- NPI 1437292927
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729209600000",
"number": "1942663497",
"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": "DENDULURI",
"first_name": "MEENAKSHI",
"middle_name": "SHIVARAM",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-01",
"last_updated": "2024-10-18",
"certification_date": "2024-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "IL",
"license": "036.164393",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MEENAKSHI",
"last_name": "SHIVARAM",
"middle_name": "RANJANI",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2024; 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.