Individual provider Active NPI

Nishad J Nadkarni, M.D.

  • Psychiatry Physician
  • Westmont, IL
National Provider Identifier
1447392840
Registry record updated Nov 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
036106760 Issued in IL
Practice address
999 Oakmont Plaza Dr
Ste 100
Westmont, IL 60559-5563
Phone
(630) 850-2120
NPI assigned
Feb 13, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Forensic Psychiatry Physician 2084F0202X 036106760 IL
Psychiatry Physician 2084P0800X 036106760 IL Primary

Addresses

Primary practice location

999 Oakmont Plaza Dr
Ste 100
Westmont, IL 60559-5563

Mailing address

999 Oakmont Plaza Dr
Ste 200
Westmont, IL 60559-5563

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, WI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050725000152 IL Practitioner - Psychiatry 0941237762 Reassigns benefits to 2 organizations
I20101123000989 WI Practitioner - Psychiatry 0941237762 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. CurrentSince May 22, 2018 Accepting new patients
Thedacare, Incorporated CurrentSince Dec 9, 2016 Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. CurrentSince May 22, 2018 Accepting new patients
Thedacare, Incorporated CurrentSince Dec 9, 2016 Accepting new patients
V Covington, LLC CurrentSince Jan 15, 2025 Accepting new patients
2014 Health, LLC CurrentSince Aug 17, 2020 Accepting new patients
Riaz Baber MD SC PastSince Jun 1, 2001 Accepting new patients
Conventions Psychiatry & Counseling, P.C. Psychiatry Past Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

555 Wilson Ln
Des Plaines, IL 60016
Phone (212) 243-5565

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

1818 N Meade St
Appleton, WI 54911
Phone (920) 731-4101

1095 Midway Rd
Menasha, WI 54952
Phone (920) 720-3700

130 2nd St
Ste 197
Neenah, WI 54956
Phone (920) 729-2030

500 S Oakwood Rd
Oshkosh, WI 54904
Phone (920) 223-0501

2700 W 9th Ave
Oshkosh, WI 54904
Phone (920) 223-0220

1020 Kabel Ave
Rhinelander, WI 54501
Phone (715) 361-2805

2251 N Shore Dr
Ste 100
Rhinelander, WI 54501
Phone (715) 361-2074

Organizations & group practices 8

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": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448323200000",
    "number": "1447392840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 OAKMONT PLAZA DR",
            "address_2": "STE 200",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605595563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 OAKMONT PLAZA DR",
            "address_2": "STE 100",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605595563",
            "telephone_number": "630-850-2120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NADKARNI",
        "first_name": "NISHAD",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-13",
        "last_updated": "2015-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084F0202X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Forensic Psychiatry",
            "state": "IL",
            "license": "036106760",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036106760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westmont, IL

Sources for this page

Verify at the official NPI Registry.