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DR. USHA APPALANENI MD
NPI 1992234611
Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology in Oak Lawn, IL

Active since June 06, 2017PECOS Enrolled
9555 S 52ND AVE, OAK LAWN, IL 60453(708) 684-5437(708) 876-1561 Get Directions Write a Review

NPPES record last updated: January 11, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 2, 2023, Jun 25, 2020, Jun 6, 2017 (3 updates tracked since 2017).

About Dr. Usha Appalaneni Md NPPES

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

DR. USHA APPALANENI MD (NPI 1992234611) is an individual neurology with special qualifications in child neurology provider in Oak Lawn, Illinois, licensed in Illinois (036-151506) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1992234611
Entity TypeIndividualFemale
Primary Taxonomy2084N0402X
Provider Legal NameDR. USHA APPALANENICredential: MD
Location Address9555 S 52ND AVEOak Lawn, IL 60453-3054
Mailing Address29373 Network PlChicago, IL 60673-4319 · (847) 390-5900
Phone(708) 684-5437
Fax(708) 876-1561
Sole ProprietorYes
Enumeration DateJune 6, 2017
Last NPPES UpdateJanuary 11, 20243 updates tracked since enumeration
NPPES CertifiedJanuary 11, 2024
✔ NPI 1992234611 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Neurology with Special Qualifications in Child NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0402X
Licenses✔ Licensed in IL · 036-151506✔ Licensed in PA · HS000045L
Definition
A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.
9555 S 52ND AVE, Oak Lawn, IL 60453
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Oscar 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. Usha Appalaneni 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.

Medicare Billing Reassignment

Medicare enrollment records show Usha Appalaneni reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Advocate Health And Hospitals Corporation
0.6 mi
Mental Health (Including Community Mental Health Center)
4700 W 95TH ST, SUITE LOWER LEVEL 5
Oak Lawn, IL 60453
  • Reassigned Medicare billing, Illinois enrollment
  • 4,870 clinicians in this Medicare group
NPI 1174747075 (800) 216-1110

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60453 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

ELIZABETH M PAYMENT MD
Family Medicine
9555 S 52ND AVE
OAK LAWN, IL 60453
Cook County (708) 634-0950
DR. DOBROSLAV DOBRIKOV DO
Family Medicine
9555 S 52ND AVE
OAK LAWN, IL 60453
Cook County (708) 422-5700
BHARATI PRASAD M.D.
Internal Medicine (Critical Care Medicine)
9555 S 52ND AVE
OAK LAWN, IL 60453
Cook County (708) 684-6867
LORENA GUZMAN-SCHMITT APRN
Nurse Practitioner (Family)
9555 S 52ND AVE
OAK LAWN, IL 60453
Cook County (708) 684-5437
GURANKIT SINGH DO
Family Medicine
9555 S 52ND AVE
OAK LAWN, IL 60453
Cook County (708) 422-5700
ERIKA VILLANUEVA
Dietitian, Registered
9555 S 52ND AVE
OAK LAWN, IL 60453
Cook County (708) 634-0950
DR. VASANTHA SAMALA M.D.
Internal Medicine (Critical Care Medicine)
9555 S 52ND AVE
OAK LAWN, IL 60453
Cook County (708) 634-0950
KELLY N BILLINGSLEY NP
Nurse Practitioner (Family)
9555 S 52ND AVE
OAK LAWN, IL 60453
Cook County (708) 634-0950

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 Usha Appalaneni's NPI number?

The NPI number for Usha Appalaneni is 1992234611. It was assigned to this individual provider in the NPPES registry on June 6, 2017.

Where is Usha Appalaneni located?

Usha Appalaneni practices at 9555 S 52nd Ave, Oak Lawn, IL 60453. The listed phone number is (708) 684-5437.

What is Usha Appalaneni's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology with Special Qualifications in Child Neurology, with taxonomy code 2084N0402X.

Is Usha Appalaneni enrolled in Medicare?

Yes. Usha Appalaneni is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Usha Appalaneni's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Usha Appalaneni reassigns Medicare benefits to Advocate Health And Hospitals Corporation (Oak Lawn, IL). The 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 Usha Appalaneni's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Usha Appalaneni accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Usha Appalaneni 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 Usha Appalaneni was last updated on January 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.