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DR. MALCOLM MARAZBAN VANDREVALA M.D.
NPI 1952795254
Psychiatry & Neurology - Child & Adolescent Psychiatry in Des Plaines, IL

Active since March 24, 2015PECOS Enrolled
8901 GOLF RD STE 301, DES PLAINES, IL 60016(847) 318-9330 Get Directions Write a Review

NPPES record last updated: December 29, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 29, 2021, Jul 4, 2018 (2 updates tracked since 2018).

About Dr. Malcolm Marazban Vandrevala M.d. NPPES

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

DR. MALCOLM MARAZBAN VANDREVALA M.D. (NPI 1952795254) is an individual child & adolescent psychiatry provider in Des Plaines, Illinois, licensed in Illinois (036.145442) and active in the NPI registry since March 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1952795254
Entity TypeIndividualMale
Primary Taxonomy2084P0804X
Provider Legal NameDR. MALCOLM MARAZBAN VANDREVALACredential: M.D.
Location Address8901 GOLF RD STE 301Des Plaines, IL 60016-4029
Mailing Address29373 Network PlChicago, IL 60673-1293
Phone(847) 318-9330
Sole ProprietorNo
Enumeration DateMarch 24, 2015
Last NPPES UpdateDecember 29, 20212 updates tracked since enumeration
NPPES CertifiedDecember 29, 2021
✔ NPI 1952795254 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in IL · 036.145442
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 036.145442 (IL), 125066881 (IL)
8901 GOLF RD STE 301, Des Plaines, IL 60016
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Malcolm Marazban Vandrevala 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Malcolm Vandrevala reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lutheran General Hospital
1.1 mi
Cardiovascular Disease
1775 DEMPSTER ST
Park Ridge, IL 60068
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Advocate Health And Hospitals Corporation
  • 4,870 clinicians in this Medicare group
NPI 1801809306 (847) 723-2210
The University Of Chicago Medical Center
22 mi
General Acute Care Hospital
5841 S MARYLAND AVE
Chicago, IL 60637
  • Reassigned Medicare billing, Illinois enrollment
  • 1,905 clinicians in this Medicare group
NPI 1033218128 (773) 702-1530

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 8

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

LAUREN MCKENNA LCPC
Counselor
8901 GOLF RD STE 301
DES PLAINES, IL 60016
Cook County (847) 318-9330
KATHERINE A PFEIFFER LCPC, LPC
Counselor (Professional)
8901 GOLF RD STE 301
DES PLAINES, IL 60016
Cook County (847) 318-9330
BRIDGET BAUERSFELD LCSW-C
Social Worker (Clinical)
8901 GOLF RD STE 301
DES PLAINES, IL 60016
Cook County (847) 318-9330
TONI J SIMON LCPC
Counselor (Professional)
8901 GOLF RD STE 301
DES PLAINES, IL 60016
Cook County (847) 318-9330
LAURA SCHIEFFER CHANG
Psychiatry & Neurology (Child & Adolescent Psychiatry)
8901 GOLF RD STE 301
DES PLAINES, IL 60016
Cook County (847) 318-9330
ALEXANDRA CHILDS LCSW
Social Worker (Clinical)
8901 GOLF RD STE 301
DES PLAINES, IL 60016
Cook County (847) 318-9330
OLUWEMIMO ADEYANJU MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
8901 GOLF RD STE 301
DES PLAINES, IL 60016
Cook County (847) 318-9330
KATHLEEN A MUGLIA CPNP, ND
Nurse Practitioner (Pediatrics)
8901 GOLF RD STE 301
DES PLAINES, IL 60016
Cook County (847) 318-9330

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 Malcolm Vandrevala's NPI number?

The NPI number for Malcolm Vandrevala is 1952795254. It was assigned to this individual provider in the NPPES registry on March 24, 2015.

Where is Malcolm Vandrevala located?

Malcolm Vandrevala practices at 8901 Golf Rd Ste 301, Des Plaines, IL 60016. The listed phone number is (847) 318-9330.

What is Malcolm Vandrevala's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Malcolm Vandrevala enrolled in Medicare?

Yes. Malcolm Vandrevala is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Malcolm Vandrevala's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Malcolm Vandrevala reassigns Medicare benefits to 2 organizations: Lutheran General Hospital (Park Ridge, IL) and The University Of Chicago Medical Center (Chicago, IL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Malcolm Vandrevala's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Malcolm Vandrevala accept?

Health plans from Ambetter Health list Malcolm Vandrevala 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 Malcolm Vandrevala was last updated on December 29, 2021. 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.