Vivek Kaistha (NPI# 1053311407, PAC ID# 4880582824) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1053311407 |
| PAC ID by PECOS | 4880582824 |
| Professional Enrollment ID | I20090826000562 |
| Full Name | Vivek Kaistha |
| Organization Legal Name | PRESENCE HEALTHCARE SERVICES |
| Address |
9000 S Stony Island Ave Chicago IL 60617-3508 |
| Phone Number | 7737310670 |
| Gender | M |
| Graduation Year | 1982 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 2860396769 |
| Number of Group Practice Members | 319 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140191 | INGALLS MEMORIAL HOSPITAL |
| 140213 | SILVER CROSS HOSPITAL AND MEDICAL CENTERS |
| 140224 | PRESENCE SAINT JOSEPH HOSPITAL - CHICAGO |
| Address | Phone | Organization |
|---|---|---|
| 9000 S Stony Island Ave, Chicago, IL 60617-3508 | 7737310670 | PRESENCE HEALTHCARE SERVICES |
| 19550 S Governors Hwy, Suite 2350, Flossmoor, IL 60422-2125 | 7087980200 | PRIMARY HEALTHCARE ASSOCIATES SC |
| 1 Ingalls Dr, Harvey, IL 60426-3558 | 7083332300 | PRIMARY HEALTHCARE ASSOCIATES SC |
| 1260 Franciscan Dr, Lemont, IL 60439-3787 | 6302433500 | PRIMARY HEALTHCARE ASSOCIATES SC |
| 6701 159th St, Tinley Park, IL 60477-1758 | PRIMARY HEALTHCARE ASSOCIATES SC |
| Organization Legal Name | PRESENCE HEALTHCARE SERVICES |
| Physicians | 345 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alaina Lastres | Nurse Practitioner | Presence Healthcare Services | 455 W Court St, Kankakee, IL 60901-3695 |
| Taha Alrifai | Internal Medicine | Presence Healthcare Services | 2900 N Lake Shore Dr, Chicago, IL 60657-5640 |
| Miriam Nuer | Internal Medicine | Presence Healthcare Services | 7380 N Lincoln Ave, Lincolnwood, IL 60712-1705 |
| Sarah Freeburg | Physician Assistant | Presence Healthcare Services | 27025 W Eames St, Channahon, IL 60410-5619 |
| Jemia D Martin | Nurse Practitioner | Presence Healthcare Services | 9000 S Stony Island Ave, Chicago, IL 60617-3508 |
| Julia Gold | Family Medicine | Presence Healthcare Services | 4833 N Milwaukee Ave, Chicago, IL 60630-2145 |
| Saima Najam | Family Medicine | Presence Healthcare Services | 2201 Randall Rd, Carpentersville, IL 60110-3355 |
| Gopika Chandra | Internal Medicine | Presence Healthcare Services | 1150 W Fullerton Ave, Chicago, IL 60614-8160 |
| Muhammad Omer M Ansari | Family Medicine | Presence Healthcare Services | 410e Lincoln Hwy 101, New Lenox, IL 60451-1976 |
| Lester Ferra | Family Medicine | Presence Healthcare Services | 2233 W Division St, Suite 205, Chicago, IL 60622-8151 |
| Street Address |
9000 S STONY ISLAND AVE |
| City | CHICAGO |
| State | IL |
| Zip | 60617-3508 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jemia D Martin | Nurse Practitioner | Presence Healthcare Services | 9000 S Stony Island Ave, Chicago, IL 60617-3508 |
| Karen K Botsoe | Internal Medicine | Presence Healthcare Services | 9000 S Stony Island Ave, Chicago, IL 60617-3508 |
| Harold B Eulien | Internal Medicine | Presence Healthcare Services | 9000 S Stony Island Ave, Chicago, IL 60617-3508 |
| Gomez Charleston | Internal Medicine | Presence Healthcare Services | 9000 S Stony Island Ave, Chicago, IL 60617-3508 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| C Tyson | Cardiovascular Disease (cardiology) | 8012 S Crandon Ave, Chicago, IL 60617-1124 | |
| Jaspal Singh | Cardiovascular Disease (cardiology) | 8012 S Crandon Ave, Chicago, IL 60617-1124 | |
| Khadeer K Ahmed | Internal Medicine | Nephrology Associates of Northern Illinois Ltd | 8012 S Crandon Ave, South Shore Hospital, Chicago, IL 60617-1124 |
| So J Kim | Anesthesiology | Steven R Greenwald Md Sc | 8012 S Crandon Ave, Chicago, IL 60617-1124 |
| Sudheer Paruchuri | Interventional Radiology | Advanced Imaging Services | 8012 S Crandon Ave, Chicago, IL 60617-1124 |
| Arpit Suresh Shah | Cardiovascular Disease (cardiology) | 8012 S Crandon Ave, Suite 100, Chicago, IL 60617-1124 | |
| Daniel P Saviano | Emergency Medicine | Crandon Emergency Physicians LLC | 8012 S Crandon Ave, Chicago, IL 60617-1124 |
| Frank M Marmo | Diagnostic Radiology | Advanced Imaging Services | 8012 S Crandon Ave, Chicago, IL 60617-1124 |
| Mahdi A Alsaden | General Surgery | 8012 S Crandon Ave, Chicago, IL 60617-1124 | |
| Syed M Husain | Emergency Medicine | Crandon Emergency Physicians LLC | 8012 S Crandon Ave, Chicago, IL 60617-1124 |
| Find all physicians in zip 60617 | |||
| City | CHICAGO |
| Zip Code | 60617 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | CHICAGO + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Vivek Kaistha.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.