NPIMap

Individual provider Active NPI

Eyad F Kakish, MD

  • Family Medicine Physician
  • Omaha, NE
National Provider Identifier
1902892268
Registry record updated Aug 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
22576 Issued in NE
Practice address
14440 F St Ste 121
Omaha, NE 68137
Phone
(402) 933-4450
Fax
(402) 933-4490
NPI assigned
Sep 22, 2005
Last updated
Aug 19, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X T9140 TX
Family Medicine Physician 207Q00000X 22576 NE Primary

Addresses

Primary practice location

14440 F St Ste 121
Omaha, NE 68137

Mailing address

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

Other practice location 1

4835 Lbj Fwy Ste 900
Dallas, TX 75244-6001
Phone (844) 941-3087

Other practice location 2

4847 W Lawther Dr
Dallas, TX 75214-1853
Phone (844) 941-3087

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, NE, TX3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20031219000807 IA Practitioner - Family Practice 8628976214 Reassigns benefits to 2 organizations
I20080502000634 NE Practitioner - Family Practice 8628976214 Reassigns benefits to 2 organizations
I20240826003360 TX Practitioner - Family Practice 8628976214 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kakish MD Senior Care PCGroup PAC ID 5496031528, 3 clinicians
Kakish Schmidt and Partners IncGroup PAC ID 1153620620, 4 clinicians
Meridian Health Partners PLLCGroup PAC ID 5597170878, 66 clinicians

Practice addresses (Care Compare)

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

2331 Nash Blvd
Council Bluffs, IA 51501-0914
Phone (402) 933-4450

3502 Metro Dr
Suite 200
Council Bluffs, IA 51501-7724
Phone (712) 256-7172

950 W Bethany Dr
Suite 570
Allen, TX 75013-3845
Phone (844) 941-3087

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22576NEMDFamily Medicine Physician
T9140TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Meridian Health Partners PLLC CurrentSince Aug 8, 2024 Accepting new patients
Meridian Health Post Acute PLLC CurrentSince Dec 21, 2025 Accepting new patients
Kakish Schmidt and Partners Inc Family Medicine CurrentSince Apr 19, 2016 Accepting new patients
LCS-SP LLC Past Accepting new patients
Dallas County Hospital District Past Accepting new patients
Osc LLC PastSince May 22, 2007 Accepting new patients
Chambers County Public Hospital District No. 1 Past Accepting new patients
Alegent Creighton Clinic Family Medicine Past Accepting new patients
Good Hope Healthcare, Inc. Past Accepting new patients
Dallas County Hospital District Past Accepting new patients
Dallas County Hospital District Past Accepting new patients
Eastland Memorial Hospital District Past Accepting new patients
Nebraska Foot & Ankle, P.C. Past Accepting new patients

Locations

3502 Metro Dr
Ste 200
Council Bluffs, IA 51501
Phone (712) 256-5347

950 W Bethany Dr
Ste 570
Allen, TX 75013
Phone (402) 651-5338

405 Duncan Perry Rd
Arlington, TX 76011
Phone (817) 649-3366

6034 W Courtyard Dr
Ste 110
Austin, TX 78730

4835 Lyndon B Johnson Fwy
Ste 900
Dallas, TX 75244
Phone (469) 340-1366

9715 Plano Rd
Dallas, TX 75238
Phone (214) 343-7445

3100 S Rigsbee Dr
Plano, TX 75074
Phone (972) 423-6217

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Keystone Ridge Post Acute Nursing and RehabilitationOmaha, NE, CCN 285238 Skilled nursing facility Operational/Managerial Control
Managing Control - Governing Body
Adp of the SNF		 Sep 13, 2013
Sep 13, 2013
Sep 13, 2013
Prairie GateCouncil Bluffs, IA, CCN 165794 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jun 1, 2023
Jun 1, 2023
Endless Journey LLCOmaha, NE, CCN 281519 Hospice 5% Or Greater Direct Ownership Interest (23%)
5% Or Greater Security Interest (23%)		 Apr 1, 2024
Apr 1, 2024

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • Endless Journey

    dba Endless Journey LLC

    • Community Based Hospice Care Agency
    • Omaha, NE
    • NPI 1073065033

    5% Or Greater Direct Ownership Interest, 5% Or Greater Security Interest

    CMS ownership
  • Good Hope Healthcare, Inc.

    dba Keystone Ridge Post Acute Nursing and Rehabilitation

    • Skilled Nursing Facility
    • Omaha, NE
    • NPI 1689062861

    Adp of the SNF, Managing Control - Governing Body, Operational/Managerial Control

    CMS ownership
  • PHS Council Bluffs, Inc

    dba Prairie Gate

    • Skilled Nursing Facility
    • Council Bluffs, IA
    • NPI 1992354666

    Adp of the SNF, Operational/Managerial Control

    CMS ownership

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1127347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724025600000",
    "number": "1902892268",
    "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": "68137",
            "telephone_number": "402-933-4450",
            "fax_number": "402-933-4490"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4835 Lbj Fwy Ste 900",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752446001",
            "country_code": "US",
            "telephone_number": "844-941-3087",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4847 W Lawther Dr",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752141853",
            "country_code": "US",
            "telephone_number": "844-941-3087",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAKISH",
        "first_name": "EYAD",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-22",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "T9140",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "22576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.