DR. SHYAM PUPPALA MD
NPI 1043390099
Psychiatry & Neurology - Neurology in Chicago, IL

NPI Status: Active since October 16, 2006

Contact Information

4755 N KENMORE AVE
CHICAGO, IL
ZIP 60640
Phone: (773) 989-9868
Fax: (773) 989-9824

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  • Individual
  • Male
  • Psychiatry & Neurology
  • Neurology

About SHYAM PUPPALA

This page provides the complete NPI Profile along with additional information for Shyam Puppala, a provider established in Chicago, Illinois with a medical specialization in Psychiatry & Neurology, focusing in neurology . The healthcare provider is registered in the NPI registry with number 1043390099 assigned on October 2006. The practitioner's primary taxonomy code is 2084N0400X with license number 036073281 (IL). The provider is registered as an individual and his NPI record was last updated 17 years ago.

NPI
1043390099
Provider Name
DR. SHYAM PUPPALA MD
Gender
Male
Entity Type
Individual
Location Address
4755 N KENMORE AVE CHICAGO, IL 60640
Location Phone
(773) 989-9868
Location Fax
(773) 989-9824
Mailing Address
8 RED HILL LN SOUTH BARRINGTON, IL 60010
Mailing Phone
(773) 989-9868
Mailing Fax
(773) 989-9824
Is Sole Proprietor?
Yes
Enumeration Date
10-16-2006
Last Update Date
05-27-2008
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychiatry & Neurology Neurology

Taxonomy Code
2084N0400X
Type
Allopathic & Osteopathic Physicians
License No.
036073281
License State
IL
Taxonomy Description
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
E18641MEDICARE UPIN (02)IL 
036073281MEDICAID (05)IL 
211855MEDICARE ID-TYPE UNSPECIFIED (04)IL 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1043390099
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2083690018
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 8 + 3 + 6 + 9 + 0 + 0 + 1 + 8 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1043390099 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 10 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1346261815MS. AILEEN FELICE ROSENBERG MSW/LCSW
Individual
Social Worker (Clinical)4755 N KENMORE AVE
CHICAGO, IL 60640
(773) 262-6892
1063592095DR. SHEPHALI PATEL M.D.
Individual
Psychiatry & Neurology (Psychiatry)4755 N KENMORE AVE
CHICAGO, IL 60640
(773) 989-9868
1750461760DR. SANGARAPILLAI CHONDRA MOHAN MD
Individual
Psychiatry & Neurology (Psychiatry)4755 N KENMORE AVE
CHICAGO, IL 60640
(773) 989-9868
1720138308MR. JEFFREY J. CIOLINO M.A., L.C.P.C.
Individual
Counselor (Professional)4755 N KENMORE AVE
CHICAGO, IL 60640
(773) 905-9805
1578737631SHYAM M PUPPALA MDSC
Organization
Psychiatry & Neurology (Psychiatry)4755 N KENMORE AVE
CHICAGO, IL 60640
(773) 989-9868
1790959872SC MOHAN MD SC
Organization
Psychiatry & Neurology (Psychiatry)4755 N KENMORE AVE
CHICAGO, IL 60640
(773) 989-9868
1417100157WISE HEALTH PROFESSIONAL CORPORATION
Organization
Psychiatry & Neurology (Psychiatry)4755 N KENMORE AVE
CHICAGO, IL 60640
(773) 989-9868
1588802490SHYAM M PUPPALA MDSC
Organization
Psychiatry & Neurology (Neurology)4755 N KENMORE AVE
CHICAGO, IL 60640
(773) 989-9868
1316258205DR. KRISTIN LEE MOORE M.D.
Individual
Psychiatry & Neurology (Psychiatry)4755 N KENMORE AVE
CHICAGO, IL 60640
(515) 450-2830
1477914158MRS. LISA ANNETTE JOHNSON FNP, DNP
Individual
Nurse Practitioner (Family)4755 N KENMORE AVE
CHICAGO, IL 60640
(773) 989-9868

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1043390099, enumerated in the NPI registry as an "individual" on October 16, 2006

The provider is located at 4755 N Kenmore Ave Chicago, Il 60640 and the phone number is (773) 989-9868

The provider's speciality is Psychiatry & Neurology with taxonomy code 2084N0400X with a focus in Neurology

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on October 16, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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