Individual provider Active NPI

Shweta M Stuart, M.D.

  • Hospitalist Physician
  • Highland Park, IL
National Provider Identifier
1245447119
Registry record updated Apr 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
036118162 Issued in IL
Practice address
777 Park Ave W
Highland Park, IL 60035-2433
Phone
(847) 570-2530
Fax
(847) 570-0231
NPI assigned
May 17, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 036118162 IL
Hospitalist Physician 208M00000X 036118162 IL Primary

Addresses

Primary practice location

777 Park Ave W
Highland Park, IL 60035-2433

Mailing address

777 Park Ave W
Highland Park, IL 60035-2433
Phone (847) 570-2530

Other practice location 1

7110 W 127th St
Suite 130
Palos Heights, IL 60463-1571
Phone (708) 923-6300

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sstuart277370@direct.northshore.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200811000173 IL Practitioner - HospitalistPractitioner - Pediatric Medicine 9436574282 Reassigns benefits to 1 organization
I20200826000947 IL Practitioner - Pediatric MedicinePractitioner - Hospitalist 9436574282 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Swedish Covenant Management Services, Inc. Pediatrics Current Accepting new patients
Endeavor Health Medical Group Pediatrics CurrentSince Aug 3, 2020 Accepting new patients
Swedish Covenant Management Services, Inc CurrentSince Aug 1, 2020 Accepting new patients
Endeavor Health Medical Group CurrentSince Aug 3, 2020 Accepting new patients
George Skarpathiotis, M.D., S.C. Pediatrics Past Accepting new patients

Locations

2740 W Foster Ave
Ste LL7
Chicago, IL 60625

5140 N California Ave
Ste 780
Chicago, IL 60625
Phone (773) 784-5140

2740 W Foster Ave
Ste 310
Chicago, IL 60625

9532 Eagle Way
Chicago, IL 60678

5140 N California Ave
Chicago, IL 60625
Phone (773) 275-8811

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

2650 Ridge Ave
Ste 1223
Evanston, IL 60201
Phone (847) 982-3175

777 Park Ave W
Highland Park, IL 60035
Phone (847) 480-3744

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617235200000",
    "number": "1245447119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 PARK AVE W",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600352433",
            "telephone_number": "847-570-2530",
            "fax_number": "847-570-0231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 PARK AVE W",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600352433",
            "telephone_number": "847-570-2530",
            "fax_number": "847-570-0231"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7110 W 127th St",
            "address_2": "Suite 130",
            "address_purpose": "LOCATION",
            "city": "Palos Heights",
            "state": "IL",
            "postal_code": "604631571",
            "country_code": "US",
            "telephone_number": "708-923-6300",
            "fax_number": "708-923-6949",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STUART",
        "first_name": "SHWETA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-17",
        "last_updated": "2021-04-01",
        "certification_date": "2021-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036118162",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IL",
            "license": "036118162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sstuart277370@direct.northshore.org",
            "affiliation": "N",
            "address_1": "777 Park Ave W",
            "city": "Highland Park",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600352433",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Highland Park, IL

Sources for this page

Verify at the official NPI Registry.