Nicole Eghtesadi, MD
NPI 1487497509 · Dermatology Physician · Springfield, IL
Enrolled with Medicare as Order and Referring Only - Dermatology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Nicole Eghtesadi, MD is a Dermatology Physician provider in Springfield, IL (NPI 1487497509).
Provider details
- NPI number
- 1487497509
- Entity type
- Individual
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 125084592 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2024-06-17
- Last updated
- 2024-06-17
- Certified
- 2024-06-17
Frequently asked questions
- What is Nicole Eghtesadi's NPI number?
- Nicole Eghtesadi's National Provider Identifier (NPI) is 1487497509, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Nicole Eghtesadi's specialty?
- Nicole Eghtesadi is listed in the NPPES registry with a primary specialty of Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Nicole Eghtesadi located?
- Nicole Eghtesadi's practice location on file with NPPES is 751 N Rutledge St Ste 2300, Springfield, IL 62702-4968.
- What is Nicole Eghtesadi's phone number?
- The practice phone number listed in the NPPES registry for Nicole Eghtesadi is (217) 545-8000.
- Does Nicole Eghtesadi accept Medicare?
- Nicole Eghtesadi is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Nicole Eghtesadi's NPI active?
- Yes — Nicole Eghtesadi's NPI (1487497509) is active in the NPPES registry as of the last update on 2024-06-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.