Individual provider Active NPI

Ali Shaibani, MD

  • Diagnostic Radiology Physician
  • Naperville, IL
National Provider Identifier
1023041720
Registry record updated Apr 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
036100444 Issued in IL
Practice address
120 Spalding Dr Ste 308
Naperville, IL 60540-6521
Phone
(312) 695-9797
NPI assigned
Jul 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 036100444 IL Primary

Addresses

Primary practice location

120 Spalding Dr Ste 308
Naperville, IL 60540-6521

Mailing address

120 Spalding Dr Ste 208
Naperville, IL 60540-6520
Phone (312) 695-9797

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ashaibani15434@direct.edward.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050608000375 IL Practitioner - Diagnostic Radiology 2961445101 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Northeastern Ohio University College of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Endeavor Health Medical GroupGroup PAC ID 2163334699, 3,330 clinicians
Lurie Children's Medical Group Inc.Group PAC ID 4789597279, 142 clinicians

Practice addresses (Care Compare)

120 Spalding Dr
Suite 205And207
Naperville, IL 60540-6508
Phone (630) 646-6020

225 E Chicago Ave
Chicago, IL 60611-2991
Phone (312) 227-6415

250 E Superior
2304 Nwmff Prent WMN Hosp
Chicago, IL 60611-2914
Phone (312) 472-3660

250 E Superior St
Chicago, IL 60611-2914

251 E Huron
Chicago, IL 60611-2908

251 E Huron St
Chicago, IL 60611-2908

2650 Ridge Ave
Evanston, IL 60201-1700

675 N Saint Clair St
Chicago, IL 60611-5975

675 N St Clair
Chicago, IL 60611-5975

801 S Washington St
Naperville, IL 60540-7430
Phone (630) 527-5197

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lurie Children's Medical Group Inc CurrentSince Sep 25, 2010 Accepting new patients
Northwest Community Health Services Inc CurrentSince Sep 1, 2013 Accepting new patients
University of Chicago CurrentSince Jul 25, 2023 Accepting new patients
Edward Health Ventures CurrentSince Oct 24, 2010 Accepting new patients
Northwestern Medical Faculty Foundation Diagnostic Radiology CurrentSince Sep 1, 2013 Accepting new patients
Endeavor Health Medical Group CurrentSince Jan 1, 2024 Accepting new patients
Northwest Community Health Services Inc Diagnostic Radiology CurrentSince Sep 1, 2013 Accepting new patients
Edward Health Ventures CurrentSince Oct 24, 2010 Accepting new patients
University of Chicago CurrentSince Dec 18, 2019 Accepting new patients
Endeavor Health Medical Group CurrentSince Jan 1, 2024 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Sep 1, 2013 Accepting new patients
Metropolitan Advanced Radiological Services, LTD. Diagnostic Radiology Past Accepting new patients
Lurie Children's Medical Group, LLC Past Accepting new patients
Wyse Eyecare SC Past Accepting new patients

Locations (25 of 26)

880 W Central Rd
Ste 4100
Arlington Heights, IL 60005
Phone (847) 618-4400

800 W Central Rd
Arlington Hts, IL 60005
Phone (847) 618-6150

1051 W Rand Rd
Arlington Hts, IL 60004
Phone (847) 221-4601

1450 Busch Pkwy
Buffalo Grove, IL 60089
Phone (847) 459-7860

Dept 5777
Carol Stream, IL 60122

Claims Remittance
Carol Stream, IL 60122

25233 Network Pl
Chicago, IL 60673

47 W Polk St
Ste G1
Chicago, IL 60605
Phone (312) 444-1145

680 N Lake Shore Dr
Ste 1000
Chicago, IL 60611
Phone (312) 695-4022

225 E Chicago Ave
#118
Chicago, IL 60611

225 E Chicago Ave
Chicago, IL 60611
Phone (312) 227-6415

9532 Eagle Way
Chicago, IL 60678

2650 Ridge Ave
#1223
Evanston, IL 60201
Phone (847) 982-3172

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

2100 Pfingsten Rd
Glenview, IL 60026
Phone (847) 657-5800

17805 Halsted St
Homewood, IL 60430
Phone (708) 333-2300

350 N Wall St
Kankakee, IL 60901
Phone (815) 935-7500

660 N Westmoreland Rd
#302
Lake Forest, IL 60045

515 Valley View Dr
Ste 201
Moline, IL 61265
Phone (312) 695-0870

120 Spalding Dr
Ste 208
Naperville, IL 60540

120 Spalding Dr
Ste 310
Naperville, IL 60540
Phone (630) 527-5575

120 Spalding Dr
Ste 308
Naperville, IL 60540
Phone (630) 527-7730

120 Spalding Dr
Ste 101
Naperville, IL 60540
Phone (630) 527-7730

120 N Oak St
Oak Brook Mall, IL 60521
Phone (630) 856-6700

Interoperability endpoints

  • Direct secure messaging: ashaibani188454@uchospital.direct-ci.com

Organizations & group practices 14

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 14

Hospital & facility affiliations 3

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": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617753600000",
    "number": "1023041720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 SPALDING DR STE 208",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605406520",
            "telephone_number": "312-695-9797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 SPALDING DR STE 308",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605406521",
            "telephone_number": "312-695-9797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAIBANI",
        "first_name": "ALI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-08",
        "last_updated": "2021-04-07",
        "certification_date": "2021-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036100444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ashaibani15434@direct.edward.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "120 Spalding Dr Ste 308",
            "city": "Naperville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605406521",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

Verify at the official NPI Registry.