NPIMap

Individual provider Active NPI

Shailesh S Nandish, M.D.

  • Interventional Cardiology Physician
  • Springfield, IL
National Provider Identifier
1134104144
Registry record updated Apr 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
036100308 Issued in IL
Practice address
619 E Mason St
Suite 4P57
Springfield, IL 62701-1034
Phone
(217) 788-0706
Fax
(217) 525-2535
NPI assigned
Dec 13, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2017

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036-100308 IL
Specialist 174400000X 036100308 IL
Cardiovascular Disease Physician 207RC0000X 036100308 IL
Interventional Cardiology Physician 207RI0011X 036100308 IL Primary

Addresses

Primary practice location

619 E Mason St
Suite 4P57
Springfield, IL 62701-1034

Mailing address

619 E Mason St
Suite 4P57
Springfield, IL 62701-1034
Phone (217) 788-0706

Other identifiers 2

IdentifierTypeStateIssuer
036100308MedicaidIL
P00992318OtherILRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20190729001923 CA Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 0648210013 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Cardiovascular Disease (Cardiology)
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Enloe Medical CenterGroup PAC ID 9739092388, 330 clinicians

Practice addresses (Care Compare)

1430 Esplanade
Suite 6
Chico, CA 95926-3366
Phone (530) 332-4600

1531 Esplanade
Chico, CA 95926-3310
Phone (530) 332-5557

181 E 7TH Ave
Chico, CA 95926-3304
Phone (530) 332-4400

185 E 7TH Ave
Chico, CA 95926-3356
Phone (530) 332-4400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.49 of 100Reported as group
Quality
60.52
Promoting interoperability
100
Improvement activities
40
Cost
68.7

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting34
Pacemaker insertion or repair1-10
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-100308ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Enloe Medical Center Cardiovascular Disease CurrentSince May 5, 2019 Accepting new patients
Enloe Medical Center CurrentSince May 5, 2019 Accepting new patients
Enloe Medical Center Current Accepting new patients
Community Hospital of Staunton Past Accepting new patients
Gibson Community Hospital Association Past Accepting new patients
HSHS Medical Group Inc Past Accepting new patients
St Marys Hospital Decatur of the Hospital Sisters of the Third Order Past Accepting new patients
Carlinville Area Hospital Association Past Accepting new patients
Sarah Bush Lincoln Health Center Cardiovascular Disease Past Accepting new patients
Memorial Medical Center Past Accepting new patients
HSHS Holy Family Hospital Inc Past Accepting new patients
Consolidated Community Medical Centers, S.C. Internal Medicine PastSince May 4, 2016 Accepting new patients
County of Clay Past Accepting new patients
Enloe Medical Center Past Accepting new patients

Locations

1390 E Lassen Ave
Chico, CA 95973
Phone (530) 332-6332

181 E 7th Ave
Chico, CA 95926
Phone (530) 332-4400

185 E 7th Ave
Chico, CA 95926
Phone (530) 332-4400

Interoperability endpoints

  • Direct secure messaging: snandish47079@enloedirect.org
  • FHIR API: https://fhir-usa.unify.chbase.com/org/carlin-6115abf3

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 and National Provider Directory roles.

View all 14

Hospital & facility affiliations 6

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": "1134432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492128000000",
    "number": "1134104144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 E MASON ST",
            "address_2": "SUITE 4P57",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627011034",
            "telephone_number": "217-788-0706",
            "fax_number": "217-525-2535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 E MASON ST",
            "address_2": "SUITE 4P57",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627011034",
            "telephone_number": "217-788-0706",
            "fax_number": "217-525-2535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NANDISH",
        "first_name": "SHAILESH",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-13",
        "last_updated": "2017-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036-100308",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IL",
            "license": "036100308",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036100308",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "IL",
            "license": "036100308",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036100308",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00992318",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, IL

Sources for this page

Verify at the official NPI Registry.