Individual provider

Maanasa Bandla

Psychiatry Physician Child & Adolescent Psychiatry Physician Medicare enrolled

Maanasa Bandla is a Psychiatry Physician in Chicago, IL, registered under NPI 1063972404. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.

Getting there

The practice address on file is 1747 W ROOSEVELT RD, Chicago, IL 60608. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

1747 W ROOSEVELT RD, Chicago, IL 60608 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
036170900 IL Psychiatry Physician primary
281143 MA Psychiatry Physician
0102208150 VA Psychiatry Physician
036.170900 IL Child & Adolescent Psychiatry Physician

Licences are recorded in 3 states: IL, MA, VA. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Psychiatry
PAC ID
7618203035

Enrolled in Medicare 6 times, across 6 states:

StateEnrollment IDProvider type
North Carolina I20231202000027 Practitioner - Psychiatry
Florida I20231202000196 Practitioner - Psychiatry
Virginia I20231205000111 Practitioner - Psychiatry
West Virginia I20240611002769 Practitioner - Psychiatry
Illinois I20241001003288 Practitioner - Psychiatry
Missouri I20250114002130 Practitioner - Psychiatry

Medicare enrolment is recorded as approved under the provider type Practitioner - Psychiatry. There are 6 separate enrolment records across 6 states (NC, FL, VA, WV, IL, MO). Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

Licensed in 3 states

This provider holds licences in 3 states: Illinois, Massachusetts and Virginia. The practice address on file is in Chicago, IL, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

IL Illinois practice address
Licence
036170900
Specialty
Psychiatry Physician
Verify with the IL board →
MA Massachusetts
Licence
281143
Specialty
Psychiatry Physician
Verify with the MA board →
VA Virginia
Licence
0102208150
Specialty
Psychiatry Physician
Verify with the VA board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Psychiatry covers

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. NUCC Health Care Provider Taxonomy, code 2084P0800X
Allopathic & Osteopathic Physicians Psychiatry & Neurology Psychiatry

All registered taxonomy codes

This provider registers 4 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
2084P0800X Psychiatry Physician Psychiatry 036170900 IL primary
2084P0800X Psychiatry Physician Psychiatry 281143 MA
2084P0800X Psychiatry Physician Psychiatry 0102208150 VA
2084P0804X Child & Adolescent Psychiatry Physician Child & Adolescent Psychiatry 036.170900 IL

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1063972404 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateMar 21, 2019
Last updatedNov 21, 2025
StatusActive
Sole proprietorYes
Practice address 1747 W ROOSEVELT RD
Chicago, IL 60608
(312) 996-9593
Mailing address 720 HARRISON AVE FL 9
Boston, MA 02118
This record was updated on Nov 21, 2025, which is recent enough that the contact details are likely still accurate.

Number check

1063972404 passes the NPI check digit test The final digit 4 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 0 6 3 9 7 2 4 0
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 0 3 3 9 7 4 4 0

Sum = 56 · next multiple of 10 = 60 · check digit = 4 · actual last digit = 4

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1063972404?
NPI 1063972404 is the National Provider Identifier assigned to Maanasa Bandla in Chicago, IL. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Psychiatry cover?
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of…
How do I contact Maanasa Bandla?
The phone number on file with NPPES is (312) 996-9593, last updated Nov 21, 2025. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Maanasa Bandla accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1063972404 a valid number?
Yes. 1063972404 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.