Active NPI
Nikhil Pillai, MD
- Psychiatry Physician
- Albuquerque, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 036-165096
- Practice address
- Msc09-5030 1 University of New Mexico
Albuquerque, NM 87131-0001 - Phone
- (505) 272-6203
- NPI assigned
- Apr 18, 2018
- Last updated
- Nov 27, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | 036-165096 | IL | |
| Student in an Organized Health Care Education/Training Program | 390200000X | NM | ||
| Psychiatry Physician | 2084P0800X | 036-165096 | IL | Primary |
Addresses
Primary practice location
Msc09-5030 1 University of New Mexico
Albuquerque, NM 87131-0001
Mailing address
Msc09-5030 1 University of New Mexico
Albuquerque, NM 87131-0001
Phone (505) 272-6203
Other practice location 1
355 Bard Ave
Department Of Psychiatry, 1st floor
Staten Island, NY 10310-1664
Phone (718) 818-4121
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-165096 | IL | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Lake | Current | Accepting new patients | |
| Cook County | Current | Accepting new patients | |
| County of Lake | Current | Accepting new patients | |
| County of Lake | Current | Accepting new patients | |
| Cook County | Psychiatry | Current | Accepting new patients |
| Cook County | Current | Accepting new patients |
Locations
1900 W Polk St
Ste 220C
Chicago, IL 60612
1901 W Harrison St
Chicago, IL 60612
Phone (312) 864-5100
500 E 51st St
Chicago, IL 60615
Phone (312) 572-2000
423 E Washington St
Round Lake Park, IL 60073
Phone (847) 377-8950
2400 Belvidere Rd
Waukegan, IL 60085
Phone (847) 377-8400
3010 Grand Ave
Waukegan, IL 60085
Phone (847) 377-8296
Interoperability endpoints
- nikhil.pillai.p1@direct.lakecountyil.nextgenshare.com
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba John H. Stroger, Jr. Hospital of Cook County
- General Acute Care Hospital
- Chicago, IL
- NPI 1588612832
-
dba Lake County Health Department and Community Health Center
- Public Health or Welfare Agency
- Waukegan, IL
- NPI 1013920750
-
dba Cook County Health & Hospitals System Physician Services
- Emergency Medicine Physician
- Chicago, IL
- NPI 1821385170
Psychiatry
-
dba Lake County Health Department and Community Health Center
- Federally Qualified Health Center (FQHC)
- Round Lake, IL
- NPI 1639588254
-
dba Lake County Health Department and Community Health Center
- Federally Qualified Health Center (FQHC)
- Round Lake Beach, IL
- NPI 1750310884
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1023505773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "MSC09-5030 1 UNIVERSITY OF NEW MEXICO",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871310001",
"telephone_number": "505-272-6203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MSC09-5030 1 UNIVERSITY OF NEW MEXICO",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871310001",
"telephone_number": "505-272-6203"
}
],
"practiceLocations": [
{
"address_1": "355 Bard Ave",
"address_2": "Department Of Psychiatry, 1st floor",
"address_purpose": "LOCATION",
"city": "Staten Island",
"state": "NY",
"postal_code": "103101664",
"country_code": "US",
"telephone_number": "718-818-4121",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PILLAI",
"first_name": "NIKHIL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-04-18",
"last_updated": "2023-11-27",
"certification_date": "2023-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "IL",
"license": "036-165096",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NM",
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "IL",
"license": "036-165096",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.