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Dr. Chrisantha Ernest Anandappa, M.D.

Psychiatry & Neurology, Psychiatry in Evanston, IL. Individual provider (NPI-1).

NPI number1154582385
StatusActive
Last updated in NPPESDec 30, 2024

Details

NPI
1154582385
Entity type
Individual (NPI-1)
Name
Dr. Chrisantha Ernest Anandappa
Credential
M.D.
Sex
Male
Sole proprietor
Yes
Enumeration date
Jun 20, 2008
Certification date
Dec 30, 2024
Last updated
Dec 30, 2024

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
Medicare opt-out
Feb 28, 2018 to Feb 29, 2028
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2084P0800X Psychiatry & Neurology, Psychiatry036.132734ILYes
2084P0800X Psychiatry & Neurology, Psychiatry4301092315MI

Practice location

1007 Church St Ste 312
Evanston, IL 60201-5912

Phone 844-215-4468 · Fax 877-428-7891

Mailing address

702 Asbury Ave
Evanston, IL 60202-2135

Phone 708-557-1930

Other practice locations

702 Asbury Ave
Evanston, IL 60202-2135

Phone 708-557-1930

1535 Lake Cook Rd Ste 110
Northbrook, IL 60062-1450

Phone 866-729-1012 · Fax 847-919-6871

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Psychiatry Physician providers in Evanston, IL

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