Individual provider Active NPI

Muhammad Shamse Tabriz, M.D.

  • Infectious Disease Physician
  • Palos Heights, IL
National Provider Identifier
1174534564
Registry record updated Dec 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
036108516 Issued in IL
Practice address
7804 W College Dr
Suite 1NW
Palos Heights, IL 60463-1025
Phone
(708) 361-5778
Fax
(708) 361-5631
NPI assigned
Aug 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 036108516 IL Primary

Addresses

Primary practice location

7804 W College Dr
Suite 1NW
Palos Heights, IL 60463-1025

Mailing address

777 Oakmont LN
Suite 1600
Westmont, IL 60559-5511
Phone (630) 789-2550

Other identifiers 3

IdentifierTypeStateIssuer
P00060304OtherILRAILROAD MEDICARE
21622441OtherILBCBS PROVIDER ID
036108516MedicaidIL

Other names 1

  • MD Shamse Tabriz Other name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address mtabriz276292@direct.myadvocateaurora.org Direct
FHIR URL https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

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
I20041123000362 IL Practitioner - Infectious Disease 1759346331 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious Disease
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southwest Infectious Disease and Internal Medicine S CGroup PAC ID 3779555362, 11 clinicians

Practice addresses (Care Compare)

7804 W College Dr
Palos Heights, IL 60463-1025
Phone (708) 361-5778

Hospital & facility affiliations

  • Advocate Christ Hospital & Medical Center Hospital, Oak Lawn, IL, CCN 140208

Merit-based Incentive Payment System (MIPS)

Final score
53.07 of 100Reported as individual
Quality
56.69
Improvement activities
0
Cost
68

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036108516ILMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Infectious Disease & Internal Medicine S C Infectious Disease CurrentSince Jul 1, 2003 Accepting new patients
John V. Kelly MD, PC PastSince Jul 1, 2003 Accepting new patients
Id Associates Limited Infectious Disease Past Accepting new patients
Gibson Community Hospital Association Past Accepting new patients

Locations

17W755 Butterfield Rd
Ste 101
Oakbrook Terrace, IL 60181
Phone (630) 323-4075

7804 W College Dr
Palos Heights, IL 60463
Phone (708) 361-5778

7804 W College Dr
Ste 1N
Palos Heights, IL 60463
Phone (708) 361-5778

11800 Southwest Hwy
Palos Heights, IL 60463
Phone (708) 361-0220

7804 W College Dr
Ste 1NW
Palos Heights, IL 60463
Phone (708) 361-5778

777 Oakmont Ln
Ste 1600
Westmont, IL 60559

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640044800000",
    "number": "1174534564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 OAKMONT LN",
            "address_2": "SUITE 1600",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605595511",
            "telephone_number": "630-789-2550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7804 W COLLEGE DR",
            "address_2": "SUITE 1NW",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631025",
            "telephone_number": "708-361-5778",
            "fax_number": "708-361-5631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TABRIZ",
        "first_name": "MUHAMMAD",
        "middle_name": "SHAMSE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2021-12-21",
        "certification_date": "2021-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "IL",
            "license": "036108516",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00060304",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER ID",
            "identifier": "21622441",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036108516",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mtabriz276292@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "7804 W College Dr",
            "address_2": "Suite 1NW",
            "city": "Palos Heights",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604631025",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "7804 W College Dr",
            "address_2": "Suite 1NW",
            "city": "Palos Heights",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604631025",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MD",
            "last_name": "TABRIZ",
            "middle_name": "SHAMSE",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Palos Heights, IL

Sources for this page

Verify at the official NPI Registry.