JOLLY C ANAND (MD) – Psychiatry Physician, NPI 1962515056

JOLLY C ANAND (MD) is a healthcare provider. based in Chicago, Illinois. specializing in Psychiatry Physician. They hold the professional credentials MD. The NPI Number for JOLLY C ANAND (MD) is 1962515056

Main info

Female
42 Years Of Experience
Accepts Medicare Assignment
Name
JOLLY C ANAND (MD)
NPI
1962515056
Phone
(312) 565-2251
Address
10551 S EWING AVE
Enumeration Date
16 August 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7733565000
Graduation Year
1984 (42 years ago)
PAC ID
3870547102
Group Practice PAC ID
4082668405
Professional Enrollment ID
I20050309000455
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:19State licenses:0Digital endpointsOther names

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Provider Addresses for JOLLY C ANAND (MD)

  • South Ewing Avenue, East Side, Chicago, Hyde Park Township, Cook County, Illinois, 60617, United States

    CHICAGO, IL 606176220

    Phone: (312) 565-2251

    Fax: (630) 214-2094

    Type: Location

  • 8900, South County Line Road, Burr Ridge, DuPage County, Illinois, 60527, United States

    BURR RIDGE, IL 605276321

    Phone: (312) 565-2251

    Fax: (630) 214-2094

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2005-03-09

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
I20050309000455IPsychiatryILTBD

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
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes28737$0
View full utilization report →

Insurance plans in this area (ZIP 60617)

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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: 4082668405View full group profile
NameSpecialtyState
Nurse PractitionerIL
Nurse PractitionerIL
Nurse PractitionerIL
Nurse PractitionerIL
Nurse PractitionerIL
P S Y C H I A T R YOH
Nurse PractitionerIL
Nurse PractitionerIL
Nurse PractitionerIL
Internal Medicine, Family PracticeIL

Reviews

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Frequently asked questions

What federal number belongs to JOLLY C ANAND (MD)?
The federal identifier for JOLLY C ANAND (MD) is NPI 1962515056.
Is JOLLY C ANAND (MD) currently active in the NPI registry?
CMS-published data lists JOLLY C ANAND (MD) as an active registrant.
Does JOLLY C ANAND (MD) list a primary specialty?
If you are matching referrals, note Psychiatry Physician for JOLLY C ANAND (MD). Clinical services aligned with this taxonomy classification.
What location metadata exists for JOLLY C ANAND (MD)?
The page summarizes Chicago, Illinois for JOLLY C ANAND (MD); expand the address list for detail.
What if Chicago, Illinois seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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