NPIMap

Individual provider Active NPI

Yelena Shanchuk

  • Internal Medicine Physician
  • Hoffman Estates, IL
National Provider Identifier
1083812465
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036118686 Issued in IL
Practice address
1555 Barrington Rd
Suite 410 BLDG One
Hoffman Estates, IL 60169-1019
Phone
(847) 885-3500
Fax
(847) 686-0070
NPI assigned
Jul 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036118686 IL Primary

Addresses

Primary practice location

1555 Barrington Rd
Suite 410 BLDG One
Hoffman Estates, IL 60169-1019

Mailing address

1555 Barrington Rd
Suite 410 BLDG One
Hoffman Estates, IL 60169-1019
Phone (847) 885-3500

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
I20070717000265 IL Practitioner - Internal Medicine 1456451681 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Midwest Internal Medicine Clinic IncGroup PAC ID 1355522061, 2 clinicians

Practice addresses (Care Compare)

1555 Barrington Rd
Suite 210
Hoffman Estates, IL 60169-1063
Phone (847) 885-3500

Hospital & facility affiliations

  • Astra Health West Home health agency, Elgin, IL, CCN 148172
  • Advanta Home Health Care, Inc Home health agency, Northfield, IL, CCN 147887
  • Northwestern Medicine Central Dupage Hospital Hospital, Winfield, IL, CCN 140242
  • St Alexius Medical Center Hospital, Hoffman Estates, IL, CCN 140290
  • Alexian Brothers Medical Center 1 Hospital, Elk Grove Village, IL, CCN 140258
  • Northwest Community Hospital 1 Hospital, Arlington Heights, IL, CCN 140252

Merit-based Incentive Payment System (MIPS)

Final score
77.5 of 100Reported as individual
Quality
56.7
Improvement activities
40
Cost
71.77

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036118686ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Internal Medicine Clinic Inc Internal Medicine CurrentSince Oct 1, 2009 Accepting new patients

Locations

Dept 4989
Carol Stream, IL 60122

1555 N Barrington Rd
Ste 410
Hoffman Estates, IL 60169
Phone (847) 781-1894

1555 N Barrington Rd
Ste 210
Hoffman Estates, IL 60169
Phone (847) 843-1100

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AHHBCA/Endpoint/AHHBCA

Organizations & group practices 1

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 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": "1183680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1083812465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 BARRINGTON RD",
            "address_2": "SUITE 410 BLDG ONE",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601691019",
            "telephone_number": "847-885-3500",
            "fax_number": "847-686-0070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 BARRINGTON RD",
            "address_2": "SUITE 410 BLDG ONE",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601691019",
            "telephone_number": "847-885-3500",
            "fax_number": "847-686-0070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANCHUK",
        "first_name": "YELENA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-06",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036118686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoffman Estates, IL

Sources for this page

Verify at the official NPI Registry.