Shirley a Roy, MDSC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

3645111 Issued in IL

Legal business name

SHIRLEY A ROY, MDSC

Practice address

5419 N Sheridan Rd
106
Chicago, IL 60640-1964

Phone

(773) 878-5151

Fax

(773) 878-1134

NPI assigned

Sep 15, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Shirley A Roy, MDNPI 1588683460

Title

President

Phone

(773) 878-5151

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shirley Ann Roy, MD

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1588683460
  Medicare reassignment NPD Authorized official
• Robert Francis Brinkman, M.D.

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1396769147
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191369600000",
    "number": "1083710263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5419 N SHERIDAN RD",
            "address_2": "106",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606401964",
            "telephone_number": "773-878-5151",
            "fax_number": "773-878-1134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5419 N SHERIDAN RD",
            "address_2": "106",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606401964",
            "telephone_number": "773-878-5151",
            "fax_number": "773-878-1134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIRLEY A ROY, MDSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-15",
        "last_updated": "2007-10-03",
        "status": "A",
        "authorized_official_last_name": "ROY",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-878-5151",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "3645111",
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "IL",
            "license": "3645111",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36045111",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maryam Shirazi, M.D.
• Mina Shirazi, MD
• Sajjad Shirazi, DDS, PHD
• Shiri Vojta Psychotherapy PLLC
• Camron Shirkhodaie, MD
• Shirley Lee Termolen MD SC
• Shirley S Wong M.D.S.C.
• Davida Shirley
• Kanika Shirole
• Shiv Pharmacy Incorporation

• Internal Medicine Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.