Individual provider Active NPI

Steven Shechtman, M.D.

  • Pediatrics Physician
  • Des Plaines, IL
National Provider Identifier
1235146549
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
036053355 Issued in IL
Practice address
8901 Golf Rd Ste 303
Des Plaines, IL 60016-4029
Phone
(847) 297-6600
Fax
(847) 297-5270
NPI assigned
Aug 1, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 036053355 IL Primary

Addresses

Primary practice location

8901 Golf Rd Ste 303
Des Plaines, IL 60016-4029

Mailing address

8901 Golf Rd Ste 303
Des Plaines, IL 60016-4029
Phone (847) 297-6600

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
I20160121002675 IL Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 9032412259

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036053355ILMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dempster Plaza Pediatrics Assoc, LTD Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235146549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8901 GOLF RD STE 303",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600164029",
            "telephone_number": "847-297-6600",
            "fax_number": "847-297-5270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8901 GOLF RD STE 303",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600164029",
            "telephone_number": "847-297-6600",
            "fax_number": "847-297-5270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHECHTMAN",
        "first_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036053355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Plaines, IL

Sources for this page

Verify at the official NPI Registry.