RAJIV KANDALA M D S C
NPI 1114094281
Family Medicine in Chicago, IL

Q: What is Rajiv Kandala M D S C's NPI number?

The NPI number for Rajiv Kandala M D S C is 1114094281. It was assigned to this organization in the NPPES registry on November 30, 2006.

Q: What is Rajiv Kandala M D S C's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since November 30, 2006CLIA 14D1052767 · Waiver

7531 S STONY ISLAND, #152, CHICAGO, IL 60649(773) 947-2831 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 7, 2023, Aug 2, 2022, Jun 23, 2021 (3 updates tracked since 2021).

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About Rajiv Kandala M D S C NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RAJIV KANDALA M D S C (NPI 1114094281) is a healthcare organization registered as a family medicine in Chicago, Illinois and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through April 3, 2028 and lists Rajiv Kandala, Secretary, as its authorized official.

NPPES Registry Identity

NPI1114094281

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameRAJIV KANDALA M D S C

Location Address7531 S STONY ISLAND, #152Chicago, IL 60649

Mailing Address1720 S Michigan Ave Apt 2909Chicago, IL 60616-4861 · (630) 405-5500 · Fax (708) 226-5690

Phone(773) 947-2831

Organization SubpartNo

Authorized OfficialRajiv KandalaSecretary · (773) 793-4527

Enumeration DateNovember 30, 2006

Last NPPES UpdateMarch 7, 20233 updates tracked since enumeration

NPPES CertifiedAugust 2, 2022

✔ NPI 1114094281 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

7531 S STONY ISLAND, Chicago, IL 60649

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Other Identifiers 1

Medicaid036109208IL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D1052767

Rajiv Kandala · Chicago, IL

Active · expires Apr 3, 2028

CLIA Number14D1052767

Laboratory TypePhysician Office

Certificate Effective DateApril 4, 2026

Certificate Expiration DateApril 3, 2028

Laboratory DirectorRajiv Kandala

Laboratory Phone(773) 947-2831

Laboratory LocationRajiv Kandala7531 S Stony Island Ave, Suite 164, Chicago, IL 60649

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rajiv Kandala M D S C's NPI number?

The NPI number for Rajiv Kandala M D S C is 1114094281. It was assigned to this organization in the NPPES registry on November 30, 2006.

Where is Rajiv Kandala M D S C located?

Rajiv Kandala M D S C is located at 7531 S Stony Island #152, Chicago, IL 60649. The listed phone number is (773) 947-2831.

What is Rajiv Kandala M D S C's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Rajiv Kandala M D S C hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D1052767) is associated with this NPI, valid through April 3, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Rajiv Kandala M D S C accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Rajiv Kandala M D S C as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Rajiv Kandala M D S C was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.