AMAN DUTTA MD
NPI 1508448564
Student in an Organized Health Care Education/Training Program in Mchenry, IL

Q: What is Aman Dutta's NPI number?

The NPI number for Aman Dutta is 1508448564. It was assigned to this individual provider in the NPPES registry on April 28, 2021.

Q: What is Aman Dutta's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Aman Dutta was last updated on March 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since April 28, 2021PECOS Enrolled

4201 MEDICAL CENTER DRIVE, MCHENRY, IL 60050(302) 319-2023 Get Directions Write a Review

NPPES record last updated: March 22, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 21, 2024, Apr 28, 2021 (2 updates tracked since 2021).

On this page

About Aman Dutta Md NPPES

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

AMAN DUTTA MD (NPI 1508448564) is an individual student in an organized health care education/training program in Mchenry, Illinois and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS and maintains a secondary practice location in Mchenry.

NPPES Registry Identity

NPI1508448564

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameAMAN DUTTACredential: MD

Location Address4201 MEDICAL CENTER DRIVEMchenry, IL 60050

Mailing Address4201 Medical Center DriveMchenry, IL 60050 · (773) 299-6591

Phone(302) 319-2023

Sole ProprietorYes

Enumeration DateApril 28, 2021

Last NPPES UpdateMarch 22, 20222 updates tracked since enumeration

NPPES CertifiedMarch 22, 2022

✔ NPI 1508448564 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

4201 MEDICAL CENTER DRIVE, Mchenry, IL 60050

Open in Google Maps ↗

Secondary Practice Location 1

Location 14201 Medical Center DriveMcHenry, IL 60050 · Phone (302) 319-2023

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Aman Dutta Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MISS LAVANYA NAGARAJAN M.B.B.S.

Internal Medicine