ANNA KLYACHKINA (M.D.) – Psychiatry Physician, NPI 1518928118
Psychiatry Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
1,367 PSYCHIATRY in IL
Provider Addresses for ANNA KLYACHKINA (M.D.)
1580 NORTH NORTHWEST HWY, SUITE 116 B
PARK RIDGE, IL 600681470
Phone: (847) 299-3220
Type: Mailing
1580 North Northwest Hwy, Suite 116 B
Park Ridge, IL 600681470
Phone: (847) 299-3220
Type: Location
PO BOX 735044
CHICAGO, IL 606735044
Phone: (800) 326-2250
Type: Mailing
12225 71ST ST
KENOSHA, WI 531427320
Phone: (262) 948-4870
Type: Location
3301 W FOREST HOME AVE
MILWAUKEE, WI 532152843
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $665.
Total Amount is formed as General ($665) + Research ($0) + Ownership ($0) = $665.
Last reported payment date: 2024-09-05 • Largest payer in this snapshot: Tris Pharma Inc ($245).
Total Amount
$665
General + Research + Ownership
Payments
7
Total payment records
General Amount
$665
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Tris Pharma Inc | $245 |
| IRONSHORE PHARMACEUTICALS INC. | $117 |
| Corium, LLC | $112 |
| Neos Therapeutics, LP | $101 |
| Ironshore Pharmaceuticals Inc. | $90 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2008-05-01
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20080501000148 | I | Psychiatry | WI | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 60068)
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