Active NPI
Karshandas Kacha, M.D.
- Family Medicine Physician
- Chicago, IL
National Provider Identifier
1730517996
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 036.056764
- Practice address
- 910 S Michigan Ave
Apt # 1606
Chicago, IL 60605-2356 - Phone
- (312) 753-5283
- NPI assigned
- Oct 28, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 036.056764 | IL | Primary |
Addresses
Primary practice location
910 S Michigan Ave
Apt # 1606
Chicago, IL 60605-2356
Mailing address
910 S Michigan Ave
Unit # 1606
Chicago, IL 60605-2356
Phone (312) 753-5283
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.056764 | IL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Access Healthcare Clinic LTD | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Medical Specialty Clinic/Center
- East Moline, IL
- NPI 1407835200
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1382918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1382918400000",
"number": "1730517996",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "910 S MICHIGAN AVE",
"address_2": "UNIT # 1606",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606052356",
"telephone_number": "312-753-5283"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "910 S MICHIGAN AVE",
"address_2": "APT # 1606",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606052356",
"telephone_number": "312-753-5283"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KACHA",
"first_name": "KARSHANDAS",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-10-28",
"last_updated": "2013-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036.056764",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.