Individual provider Active NPI

Imran M Shakir, D.O.

  • Child & Adolescent Psychiatry Physician
  • Cleveland, OH
National Provider Identifier
1194954826
Registry record updated May 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
036129767 Issued in IL
Practice address
10524 Euclid Ave
Cleveland, OH 44106-2205
Phone
(216) 844-3450
Fax
(216) 201-4203
NPI assigned
Jul 1, 2009
Last updated
May 25, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 25, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 036129767 IL Primary

Addresses

Primary practice location

10524 Euclid Ave
Cleveland, OH 44106-2205

Mailing address

30 Severance Cir
Apartment 502
Cleveland Heights, OH 44118-1531
Phone (630) 440-7738

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
I20160802000338 IL Practitioner - Psychiatry 9234422023 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Lake Erie College of Osteopathic Medicine, Erie, 2009
Medicare assignment
May accept Medicare assignment
Group practices
Silver Oaks Behavioral, LLCGroup PAC ID 4183976434, 11 clinicians
2014 Health LLCGroup PAC ID 2365764024, 22 clinicians

Practice addresses (Care Compare)

1004 Pawlak Pkwy
New Lenox, IL 60451-9401
Phone (844) 580-5000

555 Wilson LN
Des Plaines, IL 60016-4729
Phone (212) 243-5565

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036129767ILMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
2014 Health, LLC CurrentSince Mar 4, 2020 Accepting new patients
Bhril Schaumburg PC CurrentSince Jun 1, 2025 Accepting new patients
Silver Oaks Behavioral, LLC CurrentSince Jun 23, 2022 Accepting new patients
I2 Health Opco LLC CurrentSince May 1, 2026 Accepting new patients
Metropolitan Family Services CurrentSince Apr 9, 2019 Accepting new patients
Metropolitan Family Services CurrentSince Apr 9, 2019 Accepting new patients
Metropolitan Family Services Past Accepting new patients

Locations

101 N Wacker Dr
Fl 17
Chicago, IL 60606
Phone (773) 520-1370

3249 N Central Ave
Chicago, IL 60634
Phone (773) 371-3700

555 Wilson Ln
Des Plaines, IL 60016
Phone (212) 243-5565

1004 Pawlak Pkwy
New Lenox, IL 60451
Phone (815) 215-3300

9014 N Wood Sage Rd
Peoria, IL 61615
Phone (844) 360-8600

1111 N Plaza Dr
Ste 101
Schaumburg, IL 60173
Phone (224) 208-1247

222 E Willow Ave
Wheaton, IL 60187
Phone (630) 682-1802

Interoperability endpoints

  • Direct secure messaging: irman.shakir.1@13826.direct.athenahealth.com

Organizations & group practices 7

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 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": "1246406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337904000000",
    "number": "1194954826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 SEVERANCE CIR",
            "address_2": "APARTMENT 502",
            "city": "CLEVELAND HEIGHTS",
            "state": "OH",
            "postal_code": "441181531",
            "telephone_number": "630-440-7738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10524 EUCLID AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441062205",
            "telephone_number": "216-844-3450",
            "fax_number": "216-201-4203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAKIR",
        "first_name": "IMRAN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-01",
        "last_updated": "2012-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "IL",
            "license": "036129767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.