ANISA KELLEY MD – NPI #1740607688
Pediatrics

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.

ANISA KELLEY is a physician located in CHICAGO, IL. NPPES has assigned the NPI number 1740607688 to ANISA KELLEY on March 27, 2014. It is a Type-1 NPI, indicating this NPI number is associated with an individual. She is also known by her former name ANISA RAHMAN. The primary taxonomy selected by this provider is 2080P0008X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics, specializing in Neurodevelopmental Disabilities

The NPI profile was previously updated about 4 years ago on Apr 21, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ANISA KELLEY below.

NPI Profile for
ANISA KELLEY

NPI Number
1740607688
Enumeration Date

(more than 12 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
ANISA KELLEY
Former Name: ANISA RAHMAN
Credentials
MD
Primary location
225 E CHICAGO AVE
CHICAGO, IL 60611
Phone: (312) 227-3550 Fax:
1 Other location(s):
757 Westwood Plz
Los Angeles, CA 90095-7419
Phone: (310) 267-9129
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Certification Date
Apr 21, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2080P0008X
- Pediatrics / Neurodevelopmental Disabilities (Primary)
IL 036.149631

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Medicare Ordering & Referring
Provider can:
  • Order Durable Medical Equipment
  • Order Power Mobility Devices

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How do I correct or change the NPI data displayed here?
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Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.