Organization Active NPI

Kakish MD Senior Care, PC

  • Hospitalist Physician
  • Omaha, NE
National Provider Identifier
1881132256
Registry record updated Jan 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
22576 Issued in NE
Legal business name
KAKISH MD SENIOR CARE, PC
Practice address
14440 F St Ste 121
Omaha, NE 68137-1005
Phone
(402) 933-4450
Fax
(402) 933-4490
NPI assigned
Feb 6, 2017
Last updated
Jan 21, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2026

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

Authorized official

Name
Eyad F Kakish, M.D.NPI 1902892268
Title
Owner
Phone
(402) 758-5280

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 22576 NE Primary

Addresses

Primary practice location

14440 F St Ste 121
Omaha, NE 68137-1005

Mailing address

14440 F St Ste 121
Omaha, NE 68137-1005
Phone (402) 933-4450

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, IA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20170404001290 NE Part B Supplier - Clinic/Group Practice 5496031528 Receives reassigned benefits from 10 practitioners
Practice locations: La Vista, NE; Omaha, NE
O20180104001334 IA Part B Supplier - Clinic/Group Practice 5496031528 Receives reassigned benefits from 3 practitioners
Practice locations: Council Bluffs, IA

National Provider Directory

National Provider Directory

Locations

17030 Lakeside Hills Plz
Ste 130
Omaha, NE 68130
Phone (402) 758-5150

7501 Keystone Dr
Omaha, NE 68134
Phone (402) 572-5750

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1486339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768953600000",
    "number": "1881132256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14440 F ST STE 121",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681371005",
            "telephone_number": "402-933-4450",
            "fax_number": "402-933-4490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14440 F ST STE 121",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681371005",
            "telephone_number": "402-933-4450",
            "fax_number": "402-933-4490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAKISH MD SENIOR CARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-06",
        "last_updated": "2026-01-21",
        "certification_date": "2026-01-21",
        "status": "A",
        "authorized_official_last_name": "KAKISH",
        "authorized_official_first_name": "EYAD",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-758-5280",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NE",
            "license": "22576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.