DR. NINA APPADURAI – Clinical Neuropsychologist, NPI 1104292820

DR. NINA APPADURAI is a healthcare provider. based in Chesterton, Indiana. specializing in CLINICAL PSYCHOLOGIST. They hold a License No. 071.009098 (IL). The NPI Number for DR. NINA APPADURAI is 1104292820

Main info

Female
Sole Proprietor
14 Years Of Experience
Accepts Medicare Assignment
Name
DR. NINA APPADURAI
NPI
1104292820
Phone
(219) 926-8320
Address
PO BOX 2257
Enumeration Date
17 August 2015
Last Update Date
26 January 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8006931916
Graduation Year
2012 (14 years ago)
PAC ID
4789992942
Group Practice PAC ID
4880768415
Professional Enrollment ID
I20151007003420
Address ID
IL601735855SC1051XDRXX301
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:10State licenses:2Digital endpointsOther names

1,600 CLINICAL PSYCHOLOGIST in IL

Provider Addresses for DR. NINA APPADURAI

  • PO BOX 2257

    CHESTERTON, IN 463040357

    Phone: (219) 926-8320

    Fax: (219) 926-3524

    Type: Mailing

  • 2580 FOXFIELD RD STE 101-4

    ST CHARLES, IL 601741403

    Phone: (630) 524-9230

    Type: Location

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: 2015-10-07

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
I20151007003420IClinical PsychologistILTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 46304)

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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: 4880768415View full group profile
NameSpecialtyState
-MI
Clinical Social WorkerMI
-IN
Clinical Social WorkerMI
Clinical PsychologistMI
Clinical Social WorkerWI
Clinical Social WorkerMI
-MI
Clinical Social WorkerMI
Clinical Psychologist, Mental Health CounselorIL

Reviews

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Frequently asked questions

What NPI should I save for DR. NINA APPADURAI?
Save NPI 1104292820 if you need a stable reference for DR. NINA APPADURAI.
Is DR. NINA APPADURAI's NPI currently valid?
The extract we use shows DR. NINA APPADURAI as active.
What kind of provider is DR. NINA APPADURAI?
The page reflects Clinical Neuropsychologist for DR. NINA APPADURAI. Clinical services aligned with this taxonomy classification.
Where is DR. NINA APPADURAI's primary listing?
We display Chesterton, Indiana because that is what the record indicates for DR. NINA APPADURAI.
What if Chesterton, Indiana seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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