Active NPI
Amtul Shafi
- Endocrinology, Diabetes & Metabolism Physician
- Naperville, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- 036160966
- Practice address
- 801 S Washington St
Naperville, IL 60540-7430 - Phone
- (630) 527-5805
- Fax
- (630) 548-1936
- NPI assigned
- Apr 6, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 036160966 | IL | Primary |
Addresses
Primary practice location
801 S Washington St
Naperville, IL 60540-7430
Mailing address
2650 Ridge Ave Ste 1223
Evanston, IL 60201-1700
Phone (630) 527-5805
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | communityinternalmedicine@605.direct.myezyaccess.com | Direct |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Endocrinology
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
100 Spalding Dr
Naperville, IL 60540-6552
2650 Ridge Ave
Evanston, IL 60201-1700
801 S Washington St
Naperville, IL 60540-7430
Phone (630) 527-5197
Hospital & facility affiliations
- Edward Hospital
- Elmhurst Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 160966 | IL | MD | Endocrinology, Diabetes & Metabolism Physician |
| 10331 | GA | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Endeavor Health Medical Group | Current | Accepting new patients | |
| Endeavor Health Medical Group | Current | Accepting new patients |
Locations
1725 W Harrison St
Ste 250
Chicago, IL 60612
Phone (312) 942-6163
9532 Eagle Way
Chicago, IL 60678
2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222
2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206
2650 Ridge Ave
Ste 1223
Evanston, IL 60201
Phone (847) 982-3175
2650 Ridge Ave
#1223
Evanston, IL 60201
Phone (847) 982-3172
801 S Washington St
Naperville, IL 60540
Phone (312) 355-0450
100 Spalding Dr
Naperville, IL 60540
Phone (630) 357-2900
100 Spalding Dr
Ste 202206
Naperville, IL 60540
Interoperability endpoints
- ashafi282223@direct.edward.org
Organizations & group practices 2
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.
-
- Emergency Medicine Physician
- Evanston, IL
- NPI 1497701882
-
- Anesthesiology Physician
- Evanston, IL
- NPI 1265695944
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Naperville, IL
- NPI 1427069632
-
- General Acute Care Hospital
- Elmhurst, IL
- NPI 1548306343
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781740800000",
"number": "1235636309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2650 RIDGE AVE STE 1223",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602011700",
"telephone_number": "630-527-5805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 S WASHINGTON ST",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605407430",
"telephone_number": "630-527-5805",
"fax_number": "630-548-1936"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAFI",
"first_name": "AMTUL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-06",
"last_updated": "2026-06-18",
"certification_date": "2026-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "IL",
"license": "036160966",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "communityinternalmedicine@605.direct.myezyaccess.com",
"affiliation": "N",
"endpointDescription": "CIMA Direct Email Address",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1500 Oglethorpe Ave Ste 200C",
"city": "Athens",
"state": "GA",
"country_code": "US",
"postal_code": "306062165",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Naperville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2026; 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.