Individual provider Active NPI

Sheldon M Hirsch, MD

  • Nephrology Physician
  • Chicago, IL
National Provider Identifier
1174509020
Registry record updated Jul 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
036065928 Issued in IL
Practice address
1717 S Wabash Ave
Chicago, IL 60616-1219
Phone
(312) 913-0110
Fax
(312) 913-9154
NPI assigned
Dec 21, 2005
Last updated
Jul 16, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 036065928 IL Primary

Addresses

Primary practice location

1717 S Wabash Ave
Chicago, IL 60616-1219

Mailing address

2277 W Howard St
Chicago, IL 60645-1922
Phone (773) 508-0110

Other practice location 1

2277 W Howard St
Chicago, IL 60645-1922
Phone (773) 508-0110

Other practice location 2

1101 S Canal St
Chicago, IL 60607-4901
Phone (312) 986-0110

Other identifiers 2

IdentifierTypeStateIssuer
01621679OtherILBCBS OF IL
036065928MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20101222000451 IL Practitioner - Nephrology 8729175427 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lakeside Nephrology LTDGroup PAC ID 2668569351, 4 clinicians
Rush University Medical GroupGroup PAC ID 5496658874, 1,521 clinicians

Practice addresses (Care Compare)

1717 S Wabash Ave
Chicago, IL 60616-1219
Phone (312) 913-0110

1725 W Harrison St
Suite 762
Chicago, IL 60612-3852
Phone (312) 942-8120

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036065928ILMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rush University Medical Group CurrentSince Feb 18, 2026 Accepting new patients
Lakeside Nephrology, LTD. Nephrology CurrentSince Jan 5, 1995 Accepting new patients
Rush University Medical Center CurrentSince Feb 18, 2026 Accepting new patients

Locations

1101 S Canal St
Chicago, IL 60607
Phone (312) 345-0110

1101 S Canal St
Ste 5
Chicago, IL 60607

1717 S Wabash Ave
Chicago, IL 60616
Phone (312) 913-0000

1725 W Harrison St
Ste 762
Chicago, IL 60612
Phone (312) 563-1230

2277 W Howard St
Chicago, IL 60645
Phone (773) 262-7147

Interoperability endpoints

  • Direct secure messaging: shirsch33511@direct.acumenmd.com

Organizations & group practices 4

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": "1135123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752624000000",
    "number": "1174509020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2277 W HOWARD ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606451922",
            "telephone_number": "773-508-0110",
            "fax_number": "773-508-0074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 S WABASH AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606161219",
            "telephone_number": "312-913-0110",
            "fax_number": "312-913-9154"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2277 W Howard St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606451922",
            "country_code": "US",
            "telephone_number": "773-508-0110",
            "fax_number": "773-508-0074",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1101 S Canal St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606074901",
            "country_code": "US",
            "telephone_number": "312-986-0110",
            "fax_number": "312-663-1010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HIRSCH",
        "first_name": "SHELDON",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-21",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "IL",
            "license": "036065928",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF IL",
            "identifier": "01621679",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036065928",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.