Skip to content

Nicole Eghtesadi, MD

NPI 1487497509ActiveIndividual· Dermatology· Springfield, IL

Dermatology (MD) in Springfield, Illinois, licensed in IL, with an NPI issued in June 2024. Part D covered 24 prescriptions written in 2024, 92% of them generic.

Overview

NPI1487497509
StatusActive
Entity typeIndividual
CredentialMD
Sole proprietorNo
NPI issuedJun 17, 2024
Last updated in NPPESJun 17, 2024
Certified by providerJun 17, 2024

Specialties and licenses

TaxonomyCodeLicenseState
Dermatology Primary207N00000X125084592IL

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Order and Referring Only - Dermatology (IL)

Part D prescriptions in 2024

Prescriptions (claims)24 · 26 30-day fills
Patients16
Total drug cost$1,422
Generic share92% of claims

Medicare sources and data years

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other Dermatology providers in Springfield

All Dermatology providers in Illinois →