ANISA KELLEY MD
NPI 1740607688
Pediatrics - Neurodevelopmental Disabilities in Chicago, IL

Q: What is Anisa Kelley's NPI number?

The NPI number for Anisa Kelley is 1740607688. It was assigned to this individual provider in the NPPES registry on March 27, 2014. The provider is also known as Anisa Rahman MD.

Q: What is Anisa Kelley's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neurodevelopmental Disabilities, with taxonomy code 2080P0008X.

Q: When was this NPI record last updated?

The NPPES record for Anisa Kelley was last updated on April 21, 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 March 27, 2014PECOS Enrolled

225 E CHICAGO AVE, CHICAGO, IL 60611(312) 227-3550 Get Directions Write a Review

NPPES record last updated: April 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 21, 2022, Dec 21, 2021, Sep 12, 2019 (3 updates tracked since 2019).

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About Anisa Kelley Md NPPES

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

ANISA KELLEY MD (NPI 1740607688) is an individual neurodevelopmental disabilities provider in Chicago, Illinois, licensed in Illinois (036.149631) and active in the NPI registry since March 2014. She is enrolled in Medicare PECOS and maintains a secondary practice location in Los Angeles.

NPPES Registry Identity

NPI1740607688

Entity TypeIndividualFemale

Primary Taxonomy2080P0008X

Provider Legal NameANISA KELLEYCredential: MD

Location Address225 E CHICAGO AVEChicago, IL 60611

Mailing Address225 E Chicago AveChicago, IL 60611-2991 · (312) 227-3550

Phone(312) 227-3550

Sole ProprietorNo

Enumeration DateMarch 27, 2014

Last NPPES UpdateApril 21, 20223 updates tracked since enumeration

NPPES CertifiedApril 21, 2022

✔ NPI 1740607688 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neurodevelopmental DisabilitiesAllopathic & Osteopathic Physicians

Taxonomy Code2080P0008X

License✔ Licensed in IL · 036.149631

Definition

A pediatrician who specializes in the treatment of individuals with developmental delays and learning disorders associated with cerebral palsy, spina bifida, autism, and other chronic neurologic conditions.

225 E CHICAGO AVE, Chicago, IL 60611

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Other Names 1

Former Name (1)Anisa Rahman Md

Secondary Practice Location 1

Location 1757 Westwood PlzLos Angeles, CA 90095-7419 · Phone (310) 267-9129

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Anisa Kelley 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.

BESSEY ELIZABETH JOSE GEEVARGHESE DO

Pediatrics