Individual provider Active NPI

Nada Musa Shaban, MD

  • Cardiovascular Disease Physician
  • Chicago, IL
National Provider Identifier
1073782074
Registry record updated Mar 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
036154846 Issued in IL
Practice address
1725 W Harrison St Ste 1159
Chicago, IL 60612-3883
Phone
(312) 942-5020
NPI assigned
Feb 22, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 273972 NY
Nuclear Cardiology Physician 207UN0901X 273972 NY
Cardiovascular Disease Physician 207RC0000X 036154846 IL Primary

Addresses

Primary practice location

1725 W Harrison St Ste 1159
Chicago, IL 60612-3883

Mailing address

1725 W Harrison St Ste 1159
Chicago, IL 60612-3883
Phone (312) 942-5020

Other practice location 1

2510 30th Ave
Astoria, NY 11102-2418
Phone (718) 932-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140813001272 NY Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Nuclear Medicine 8921225079 Reassigns benefits to 3 organizations
I20210812001067 IL Practitioner - Cardiovascular Disease (Cardiology) 8921225079 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rush University Medical GroupGroup PAC ID 5496658874, 1,521 clinicians

Practice addresses (Care Compare)

1725 W Harrison St
Suite 1159
Chicago, IL 60612-3883
Phone (312) 942-5020

Hospital & facility affiliations

  • Rush University Medical Center Hospital, Chicago, IL, CCN 140119
  • Rush Oak Park Hospital Hospital, Oak Park, IL, CCN 140063

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Floating Hospital Inc. CurrentSince Aug 31, 2019 Accepting new patients
Montefiore Medical Center CurrentSince Jun 13, 2014 Accepting new patients
The Floating Hospital Inc. Current Accepting new patients
Rush University Medical Group CurrentSince Aug 1, 2021 Accepting new patients
The Floating Hospital Inc. CurrentSince Aug 31, 2019 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Mar 9, 2019 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Mar 9, 2019 Accepting new patients
Montefiore Medical Center Cardiovascular Disease CurrentSince Jun 13, 2014 Accepting new patients
Rush University Medical Center CurrentSince Aug 1, 2021 Accepting new patients

Locations

1725 W Harrison St
Ste 1159
Chicago, IL 60612
Phone (312) 942-5020

1700 W Van Buren St
#500
Chicago, IL 60612
Phone (312) 563-2875

1625 N Harlem Ave
Chicago, IL 60707
Phone (312) 256-8583

75 Remittance Dr
Dept 1611
Chicago, IL 60675

111 E 210th St
Bronx, NY 10467

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

1029 41st Ave
Long Island City, NY 11101
Phone (718) 361-6266

2510 30th Ave
Long Island City, NY 11102
Phone (718) 267-4245

150 E 42nd St
Fl 10
New York, NY 10017
Phone (646) 605-8119

10114 Liberty Ave
#13292
Ozone Park, NY 11417
Phone (718) 487-3330

300 Community Dr
Plandome, NY 11030

Interoperability endpoints

  • Direct secure messaging: nadashaban@nslijmedgr.allscriptsdirect.net
  • Direct secure messaging: nshaban183917@direct.rush.rush-health.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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": "1203638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709596800000",
    "number": "1073782074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 W HARRISON ST STE 1159",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123883",
            "telephone_number": "312-942-5020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 W HARRISON ST STE 1159",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123883",
            "telephone_number": "312-942-5020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2510 30th Ave",
            "address_purpose": "LOCATION",
            "city": "Astoria",
            "state": "NY",
            "postal_code": "111022418",
            "country_code": "US",
            "telephone_number": "718-932-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHABAN",
        "first_name": "NADA",
        "middle_name": "MUSA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-22",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "273972",
            "primary": false
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "NY",
            "license": "273972",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036154846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.