David Michael Shore, M.D.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

036-129535 Issued in IL

Practice address

1011 W Wellington Ave
Ste. 200
Chicago, IL 60657-4325

Phone

(773) 280-1011

Fax

(773) 281-1029

NPI assigned

Jul 11, 2007

Last updated

Jul 12, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

Specialty

Urology

Education

Northwestern University Feinberg Medical School, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Uropartners LLCGroup PAC ID 9436182946, 133 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Advocate Illinois Masonic Medical Center Hospital, Chicago, IL, CCN 140182
• Presence Saint Joseph Hospital - Chicago Hospital, Chicago, IL, CCN 140224
• Advocate Lutheran General Hospital Hospital, Park Ridge, IL, CCN 140223
• Advocate Christ Hospital & Medical Center Hospital, Oak Lawn, IL, CCN 140208

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: davidshore@uropart.allscriptsdirect.net

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.

• Uropartners LLC

  • Urology Physician
  • Glenview, IL
  • NPI 1073567905
  Medicare reassignment Care Compare group NPD
• United Shockwave Services, LTD.

  • Ambulatory Surgical Clinic/Center
  • La Grange, IL
  • NPI 1336526219
  NPD
• United Shockwave Services, LTD.

  • Urology Physician
  • Park Ridge, IL
  • NPI 1497132377
  NPD
• Uropartners, LLC

  • Durable Medical Equipment & Medical Supplies
  • Geneva, IL
  • NPI 1659124683

  Urology

  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Advocate Health and Hospitals Corporation

  dba Advocate Lutheran General Hospital

  • General Acute Care Hospital
  • Park Ridge, IL
  • NPI 1164539730
  Care Compare affiliation
• Advocate Health and Hospitals Corporation

  dba Advocate Children's Hospital

  • Children's Hospital
  • Oak Lawn, IL
  • NPI 1508315516
  Care Compare affiliation
• Advocate Health and Hospitals Corporation

  dba Advocate Christ Medical Center

  • General Acute Care Hospital
  • Oak Lawn, IL
  • NPI 1548375082
  Care Compare affiliation
• Advocate North Side Health Network

  dba Advocate Illinois Masonic Medical Center

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1912014564
  Care Compare affiliation
• Presence Chicago Hospitals Network

  dba Presence Saint Joseph Hospital-Chicago

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1679659585
  Care Compare affiliation

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

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562889600000",
    "number": "1184823163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 W WELLINGTON AVE",
            "address_2": "STE. 200",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606574325",
            "telephone_number": "773-280-1011",
            "fax_number": "773-281-1029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 W WELLINGTON AVE",
            "address_2": "STE. 200",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606574325",
            "telephone_number": "773-280-1011",
            "fax_number": "773-281-1029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHORE",
        "first_name": "DAVID",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-11",
        "last_updated": "2019-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "IL",
            "license": "036-129535",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036129535",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "davidshore@uropart.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "1011 W Wellington Ave",
            "address_2": "Ste. 200",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606574325",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Erik Shookman
• Jenny May Shoop
• Shoptalk Art Therapy Studio PLLC
• Merrick Shor
• Alison M Shore, MD
• Jeffrey Joseph Shore, MSW LCSW
• Julia C Shore, APRN, CNP
• Richard M. Shore, MD
• Ronald Dean Shore II, PA-C
• Shoreland Optical Co #27 Inc. (Pearle Vision Center)

• Urology Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Urology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.