Individual provider Active NPI

Esha Kacker, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1205405644
Registry record updated Jun 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
209.023336 Issued in IL
Practice address
1500 N Halsted St FL 234
Chicago, IL 60642-2517
Phone
(516) 407-8558
NPI assigned
Jun 21, 2021
Last updated
Jun 21, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2021

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 041.509746 IL
Registered Nurse 163W00000X 916707 TX
Nurse Practitioner 363L00000X 209.023336 IL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1035252 TX
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 209.023336 IL Primary

Addresses

Primary practice location

1500 N Halsted St FL 234
Chicago, IL 60642-2517

Mailing address

7401 Blue Beach CV
Austin, TX 78759-6424
Phone (512) 632-7427

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210707002440 IL Practitioner - Nurse Practitioner 6800298373 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Aldad Medical PCGroup PAC ID 9234291436, 78 clinicians

Practice addresses (Care Compare)

159 N Sangamon St
Suite 200
Chicago, IL 60607-2201
Phone (516) 505-7200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
041.509746ILMDRegistered Nurse
916707TXMDRegistered Nurse
209.023336ILMDPsychiatric/Mental Health Nurse Practitioner
1035252TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Aldad Medical PC CurrentSince Jun 1, 2021 Accepting new patients
Aldad Medical PC CurrentSince Jun 1, 2024 Accepting new patients
Aldad Medical PC CurrentSince Jun 1, 2021 Accepting new patients

Locations

159 N Sangamon St
Ste 200
Chicago, IL 60607
Phone (312) 549-8076

159 N Sangamon St
Ste 200300
Chicago, IL 60607
Phone (872) 246-7320

510 Hempstead Tpke
Rm 203
West Hempstead, NY 11552
Phone 51650572001051

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1624233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624233600000",
    "number": "1205405644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7401 BLUE BEACH CV",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787596424",
            "telephone_number": "512-632-7427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 N HALSTED ST FL 234",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606422517",
            "telephone_number": "516-407-8558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KACKER",
        "first_name": "ESHA",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-21",
        "last_updated": "2021-06-21",
        "certification_date": "2021-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041.509746",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "916707",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209.023336",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1035252",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "209.023336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.