Individual provider Active NPI

Sudhakar Kateel Shenoy, MD, FAPA

  • Psychiatry Physician
  • Chicago, IL
National Provider Identifier
1972919827
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
036145108 Issued in IL
Practice address
30 N Michigan Ave Ste 703
Chicago, IL 60602-3816
Phone
(312) 625-3551
Fax
(312) 625-3552
NPI assigned
Jul 10, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 036145108 IL Primary
Child & Adolescent Psychiatry Physician 2084P0804X 036145108 IL

Addresses

Primary practice location

30 N Michigan Ave Ste 703
Chicago, IL 60602-3816

Mailing address

30 N Michigan Ave Ste 703
Chicago, IL 60602-3816
Phone (312) 625-3551

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
I20200220001253 IL Practitioner - Psychiatry 2466758206 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036145108ILMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vna Health Care CurrentSince Dec 30, 2019 Accepting new patients
Vna Health Care CurrentSince Dec 30, 2019 Accepting new patients
Downtown Psychiatry Chicago PLLC Psychiatry CurrentSince Jun 8, 2025 Accepting new patients
Clarity Clinic PLLC CurrentSince Dec 1, 2020 Accepting new patients

Locations

400 N Highland Ave
Aurora, IL 60506

30 N Michigan Ave
Ste 703
Chicago, IL 60602
Phone (312) 332-3344

1 E Superior St
Ste 306
Chicago, IL 60611
Phone (312) 754-9404

Organizations & group practices 4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1404950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758240000000",
    "number": "1972919827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 N MICHIGAN AVE STE 703",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606023816",
            "telephone_number": "312-625-3551",
            "fax_number": "312-625-3552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 N MICHIGAN AVE STE 703",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606023816",
            "telephone_number": "312-625-3551",
            "fax_number": "312-625-3552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHENOY",
        "first_name": "SUDHAKAR",
        "middle_name": "KATEEL",
        "name_prefix": "Dr.",
        "credential": "MD, FAPA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-10",
        "last_updated": "2025-09-19",
        "certification_date": "2025-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036145108",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "IL",
            "license": "036145108",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.