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HITEKSHYA NEPAL MD
NPI 1104234046
Psychiatry & Neurology - Child & Adolescent Psychiatry in Springfield, IL

Active since July 23, 2014PECOS EnrolledAccepts Medicare Assignment
5230 6TH STREET FRONTAGE RD E, SPRINGFIELD, IL 62703(217) 585-1180 Get Directions Write a Review

NPPES record last updated: June 27, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 24, 2019, Jun 30, 2017 (2 updates tracked since 2017).

About Hitekshya Nepal Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HITEKSHYA NEPAL MD (NPI 1104234046) is an individual child & adolescent psychiatry provider in Springfield, Illinois, licensed in Illinois (036143300) and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1104234046
Entity TypeIndividualFemale
Primary Taxonomy2084P0804X
Provider Legal NameHITEKSHYA NEPALCredential: MD
Location Address5230 6TH STREET FRONTAGE RD ESpringfield, IL 62703-5128
Mailing Address5230 6th Street Frontage Rd ESpringfield, IL 62703-5128 · (217) 585-1180
Phone(217) 585-1180
Sole ProprietorYes
Medical School CMSOtherGraduated 2007
Enumeration DateJuly 23, 2014
Last NPPES UpdateJune 27, 20192 updates tracked since enumeration
✔ NPI 1104234046 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in IL · 036143300
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
5230 6TH STREET FRONTAGE RD E, Springfield, IL 62703
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Hitekshya Nepal Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7810114576
PECOS Enrollment IDI20250718002894
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Hitekshya Nepal reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

T H Mental Health Services
4.9 mi
Psychiatry
2041 W ILES AVE STE C
Springfield, IL 62704
  • Reassigned Medicare billing, Illinois enrollment
  • 3 clinicians in this Medicare group
NPI 1689313082 (217) 553-0266

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROBIN MITCHELL LMFT
Marriage & Family Therapist
5230 6TH STREET FRONTAGE RD E
SPRINGFIELD, IL 62703
Sangamon County (217) 585-4700
KELCI LYNN CAPPS PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
5230 6TH STREET FRONTAGE RD E
SPRINGFIELD, IL 62703
Sangamon County (217) 585-1180
ADAM C WHITFORD MA
Counselor
5230 6TH STREET FRONTAGE RD E
SPRINGFIELD, IL 62703
Sangamon County (217) 585-1180
JASON LEE RN
Registered Nurse
5230 6TH STREET FRONTAGE RD E
SPRINGFIELD, IL 62703
Sangamon County (217) 585-5664
LAWRENCE EDWARD HARRIS MA, BSW, CADC
Counselor (Addiction (Substance Use Disorder))
5230 6TH STREET FRONTAGE RD E
SPRINGFIELD, IL 62703
Sangamon County (217) 585-1180
JULIEANN EMERSON ROBINSON
Counselor
5230 6TH STREET FRONTAGE RD E
SPRINGFIELD, IL 62703
Sangamon County (217) 585-1180
ALEXANDER VENABLE MA, CADC
Counselor (Mental Health)
5230 6TH STREET FRONTAGE RD E
SPRINGFIELD, IL 62703
Sangamon County (217) 585-1180
AMANDA RHAE DAVIS LCPC
Counselor (Professional)
5230 6TH STREET FRONTAGE RD E
SPRINGFIELD, IL 62703
Sangamon County (217) 585-5661

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Hitekshya Nepal's NPI number?

The NPI number for Hitekshya Nepal is 1104234046. It was assigned to this individual provider in the NPPES registry on July 23, 2014.

Where is Hitekshya Nepal located?

Hitekshya Nepal practices at 5230 6th Street Frontage Rd E, Springfield, IL 62703. The listed phone number is (217) 585-1180.

What is Hitekshya Nepal's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Hitekshya Nepal enrolled in Medicare?

Yes. Hitekshya Nepal is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Hitekshya Nepal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Hitekshya Nepal reassigns Medicare benefits to T H Mental Health Services (Springfield, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Hitekshya Nepal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Hitekshya Nepal accept?

Health plans from Oscar Health and UnitedHealthcare list Hitekshya Nepal as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Hitekshya Nepal was last updated on June 27, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.