Individual provider Active NPI

Hitekshya Nepal, MD

  • Child & Adolescent Psychiatry Physician
  • Springfield, IL
National Provider Identifier
1104234046
Registry record updated Jun 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
036143300 Issued in IL
Practice address
5230 6TH Street Frontage Rd E
Springfield, IL 62703-5128
Phone
(217) 585-1180
NPI assigned
Jul 23, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 036143300 IL Primary

Addresses

Primary practice location

5230 6TH Street Frontage Rd E
Springfield, IL 62703-5128

Mailing address

5230 6TH Street Frontage Rd E
Springfield, IL 62703-5128
Phone (217) 585-1180

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250718002894 IL Practitioner - Psychiatry 7810114576 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
T H Mental Health ServicesGroup PAC ID 2668988437, 2 clinicians

Practice addresses (Care Compare)

2041 W Iles Ave
Suite C
Springfield, IL 62704-7006
Phone (217) 718-2910

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036143300ILMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
T H Mental Health Services CurrentSince Jun 1, 2025 Accepting new patients
Springfield Hospital, Inc. Past Accepting new patients

Locations

2041 W Iles Ave
Ste C
Springfield, IL 62704
Phone (217) 553-0266

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1406073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561593600000",
    "number": "1104234046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5230 6TH STREET FRONTAGE RD E",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627035128",
            "telephone_number": "217-585-1180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5230 6TH STREET FRONTAGE RD E",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627035128",
            "telephone_number": "217-585-1180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEPAL",
        "first_name": "HITEKSHYA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-23",
        "last_updated": "2019-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "IL",
            "license": "036143300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, IL

Sources for this page

Verify at the official NPI Registry.