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MALLIKARJUNA R KANNEGANTI M.D.
NPI 1760642482
Psychiatric Hospital in North Chicago, IL

Active since June 16, 2008PECOS Enrolled
3001 GREEN BAY RD, NORTH CHICAGO, IL 60064(224) 610-3719(224) 610-3824 Get Directions Write a Review

NPPES record last updated: June 18, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mallikarjuna R Kanneganti M.d. NPPES

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

MALLIKARJUNA R KANNEGANTI M.D. (NPI 1760642482) is an individual psychiatric hospital provider in North Chicago, Illinois, licensed in Illinois (036078018) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760642482
Entity TypeIndividualMale
Primary Taxonomy283Q00000X
Provider Legal NameMALLIKARJUNA R KANNEGANTICredential: M.D.
Location Address3001 GREEN BAY RDNorth Chicago, IL 60064-3048
Mailing Address3001 Green Bay RdNorth Chicago, IL 60064-3048 · (224) 610-3719 · Fax (224) 610-3824
Phone(224) 610-3719
Fax(224) 610-3824
Sole ProprietorYes
Enumeration DateJune 16, 2008
Last NPPES UpdateJune 18, 2008
✔ NPI 1760642482 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatric HospitalHospitals
Taxonomy Code283Q00000X
License✔ Licensed in IL · 036078018
Definition
An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings.
3001 GREEN BAY RD, North Chicago, IL 60064
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mallikarjuna R Kanneganti M.d. 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.

DR. PHILIP CYRUS FANAPOUR DO
Anesthesiology (Critical Care Medicine)
3001 GREEN BAY RD
NORTH CHICAGO, IL 60064
Lake County (224) 610-1900
MR. BIJU CHERIAN PA-C
Physician Assistant
3001 GREEN BAY RD, CAPTAIN JAMES A. LOWELL FHCC, DEPT. OF CARDIOLOGY
NORTH CHICAGO, IL 60064
Lake County (224) 610-8201
GAGANDEEP SINGH GROVER MD
Internal Medicine
3001 GREEN BAY RD
NORTH CHICAGO, IL 60064
Lake County (847) 688-1900
SARA ELISE RINGLE RN
Registered Nurse
3001 GREEN BAY RD
NORTH CHICAGO, IL 60064
Lake County (810) 494-1587
NEELPREET TOOR DO
Psychiatry & Neurology (Psychiatry)
3001 GREEN BAY RD
NORTH CHICAGO, IL 60064
Lake County (847) 688-1900
BRANDON FLERES
Psychiatry & Neurology (Psychiatry)
3001 GREEN BAY RD
NORTH CHICAGO, IL 60064
Lake County (847) 688-1900
SEMYON SHULMAN
Psychiatry & Neurology (Neurology)
3001 GREEN BAY RD
NORTH CHICAGO, IL 60064
Lake County (847) 688-1900
MS. SHIRLEY ANN HOFFMAN MSW
Social Worker (Clinical)
3001 GREEN BAY RD
NORTH CHICAGO, IL 60064
Lake County (224) 610-5901

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 Mallikarjuna Kanneganti's NPI number?

The NPI number for Mallikarjuna Kanneganti is 1760642482. It was assigned to this individual provider in the NPPES registry on June 16, 2008.

Where is Mallikarjuna Kanneganti located?

Mallikarjuna Kanneganti practices at 3001 Green Bay Rd, North Chicago, IL 60064. The listed phone number is (224) 610-3719.

What is Mallikarjuna Kanneganti's specialty?

The primary specialty registered for this NPI is Psychiatric Hospital with taxonomy code 283Q00000X.

Is Mallikarjuna Kanneganti enrolled in Medicare?

Yes. Mallikarjuna Kanneganti is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mallikarjuna Kanneganti was last updated on June 18, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.