DR. ANAND PONNAPPAN (MD) – Otolaryngology Physician, NPI 1629124243

DR. ANAND PONNAPPAN (MD) is a healthcare provider. based in Riverside, Illinois. specializing in OTOLARYNGOLOGY. They hold the professional credentials MD. They hold a License No. 036123972 (IL). The NPI Number for DR. ANAND PONNAPPAN (MD) is 1629124243

Main info

Male
22 Years Of Experience
Accepts Medicare Assignment
Name
DR. ANAND PONNAPPAN (MD)
NPI
1629124243
Phone
(708) 853-9367
Address
147 S DELAPLAINE RD
Enumeration Date
26 January 2007
Last Update Date
12 February 2026

Doctor Profile

Medical School Name
OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
2179022300
Graduation Year
2004 (22 years ago)
PAC ID
0143362434
Group Practice PAC ID
3577515774
Professional Enrollment ID
I20100125000784
Address ID
IL618223743CH3103XDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Digital endpointsOther names

488 OTOLARYNGOLOGY in IL

Provider Addresses for DR. ANAND PONNAPPAN (MD)

  • 147 S DELAPLAINE RD

    RIVERSIDE, IL 605462371

    Phone: (708) 853-9367

    Fax: (708) 659-4997

    Type: Location

  • Oak Park Avenue, Berwyn, Cook County, Illinois, 60601, United States

    SUITE 204

    BERWYN, IL 604023420

    Phone: (708) 749-3070

    Fax: (708) 749-3410

    Type: Mailing

  • 1005 HEALTH CENTER DR STE 201

    MATTOON, IL 619384653

    Phone: (217) 258-2409

    Fax: (217) 258-2323

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $233.

Total Amount is formed as General ($233) + Research ($0) + Ownership ($0) = $233.

Last reported payment date: 2023-04-20 • Largest payer in this snapshot: AERIN MEDICAL INC. ($115).

Total Amount

$233

General + Research + Ownership

Payments

8

Total payment records

General Amount

$233

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-04-20

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2010-01-25

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100125000784IOtolaryngologyILTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes6150$0
69210Removal of impacted ear wax3735$0
99203New patient office or other outpatient visit, 30-44 minutes3636$0
99212Established patient office or other outpatient visit, 10-19 minutes1816$0
View full utilization report →

Insurance plans in this area (ZIP 60546)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3577515774View full group profile
NameSpecialtyState
G A S T R O E N T E R O L O G YIL
Nurse PractitionerIL
Clinical PsychologistIL
-FL
Nurse PractitionerIL
Gastroenterology, Internal MedicineWI
P O D I A T R YIL
Hospitalist, Family PracticeTX
Diagnostic RadiologyNY
-IL

Reviews

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Frequently asked questions

What is DR. ANAND PONNAPPAN (MD)'s NPI number?
DR. ANAND PONNAPPAN (MD)'s NPI is 1629124243 — the number used across U.S. healthcare to identify this provider.
Is DR. ANAND PONNAPPAN (MD) shown as active in public data?
Registry records indicate DR. ANAND PONNAPPAN (MD) maintains an active NPI.
What area of care is associated with DR. ANAND PONNAPPAN (MD)?
DR. ANAND PONNAPPAN (MD)'s record emphasizes Otolaryngology Physician. Clinical services aligned with this taxonomy classification.
Is DR. ANAND PONNAPPAN (MD) located near Riverside?
DR. ANAND PONNAPPAN (MD) currently maps to Riverside, Illinois in this extract.
When was this NPI issued?
Enumeration for DR. ANAND PONNAPPAN (MD) is noted as January 26, 2007 where the registry provides it.

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