Individual provider Active NPI

Nishaan Nagarakanti, DO

  • Psychiatry Physician
  • Skokie, IL
National Provider Identifier
1295264422
Registry record updated Apr 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
036.151086 Issued in IL
Practice address
9715 Woods Dr Unit 506
Skokie, IL 60077-4440
Phone
(630) 697-3594
NPI assigned
Jun 10, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 036.151086 IL Primary

Addresses

Primary practice location

9715 Woods Dr Unit 506
Skokie, IL 60077-4440

Mailing address

9715 Woods Dr Unit 506
Skokie, IL 60077-4440
Phone (630) 697-3594

Other identifiers 1

IdentifierTypeStateIssuer
N26262088344OtherILDRIVERS LISENCE

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
I20211004000540 IL Practitioner - Psychiatry 6800294075 Reassigns benefits to 3 organizations
Practice locations: Skokie, IL

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Skokie, IL 60077
Phone (630) 697-3594

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.151086ILMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nishaan Nagarakanti DO Psychiatry CurrentSince Jun 18, 2023 Accepting new patients
RM Psychiatry PLLC Psychiatry CurrentSince May 5, 2024 Accepting new patients
V Covington, LLC CurrentSince Aug 1, 2021 Accepting new patients
Pacific Heritage Medical Group Inc CurrentSince Feb 17, 2025 Accepting new patients

Locations

2393 Townsgate Rd
Ste 104
Westlake Village, CA 91361
Phone (805) 601-5199

500 W Court St
Kankakee, IL 60901
Phone (800) 585-4119

1S376 Summit Ave
Ste 5B
Oakbrook Terrace, IL 60181
Phone (224) 300-4268

2615 Washington St
Waukegan, IL 60085
Phone (847) 249-3900

Interoperability endpoints

  • Direct secure messaging: nishaan.nagarakanti@dpcc.eclinicaldirectplus.com

Organizations & group practices 4

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": "1497052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775433600000",
    "number": "1295264422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9715 WOODS DR UNIT 506",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600774440",
            "telephone_number": "630-697-3594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9715 WOODS DR UNIT 506",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600774440",
            "telephone_number": "630-697-3594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAGARAKANTI",
        "first_name": "NISHAAN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-10",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036.151086",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVERS LISENCE",
            "identifier": "N26262088344",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Skokie, IL

Sources for this page

Verify at the official NPI Registry.