NPIMap

Individual provider Active NPI

Shahrzad Azizaddini, MD

  • Diagnostic Radiology Physician
  • Hinsdale, IL
National Provider Identifier
1053874107
Registry record updated Aug 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
036.174436 Issued in IL
Practice address
911 N Elm St Ste 128
Hinsdale, IL 60521-3640
Phone
(630) 856-7460
Fax
(630) 655-9943
NPI assigned
Apr 7, 2019
Last updated
Aug 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Student in an Organized Health Care Education/Training Program 390200000X 0116038860 VA
Diagnostic Radiology Physician 2085R0202X 036.174436 IL Primary

Addresses

Primary practice location

911 N Elm St Ste 128
Hinsdale, IL 60521-3640

Mailing address

PO Box 71736
Chicago, IL 60694-1736
Phone (630) 856-7460

Other practice location 1

20900 Biscayne Blvd
Aventura, FL 33180-1407
Phone (305) 692-3325

Other practice location 2

1215 Lee St Box #800377
Charlottesville, VA 22908-0816
Phone (434) 924-9400

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250828004947 IL Practitioner - Diagnostic Radiology 8224455639 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vascular and Interventional Professionals, LLCGroup PAC ID 2365758224, 31 clinicians

Practice addresses (Care Compare)

911 N Elm St
Suite 128
Hinsdale, IL 60521-3640
Phone (630) 856-7460

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.174436ILMDDiagnostic Radiology Physician
0116038860VAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Vascular and Interventional Professionals, LLC CurrentSince Aug 1, 2025 Accepting new patients

Locations

1435 N Randall Rd
Ste 410
Elgin, IL 60123
Phone (224) 783-8478

911 N Elm St
Ste 128
Hinsdale, IL 60521
Phone (630) 789-2260

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 2

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.

Hospital & facility affiliations 8

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": "1554595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755561600000",
    "number": "1053874107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 71736",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606941736",
            "telephone_number": "630-856-7460",
            "fax_number": "630-655-9943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 N ELM ST STE 128",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605213640",
            "telephone_number": "630-856-7460",
            "fax_number": "630-655-9943"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20900 Biscayne Blvd",
            "address_purpose": "LOCATION",
            "city": "Aventura",
            "state": "FL",
            "postal_code": "331801407",
            "country_code": "US",
            "telephone_number": "305-692-3325",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1215 Lee St Box #800377",
            "address_purpose": "LOCATION",
            "city": "Charlottesville",
            "state": "VA",
            "postal_code": "229080816",
            "country_code": "US",
            "telephone_number": "434-924-9400",
            "fax_number": "434-243-6731",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AZIZADDINI",
        "first_name": "SHAHRZAD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-07",
        "last_updated": "2025-08-19",
        "certification_date": "2025-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "VA",
            "license": "0116038860",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036.174436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hinsdale, IL

Sources for this page

Verify at the official NPI Registry.