Shahab Mohiuddin, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036.130409 Issued in IL

Practice address

2359 Hassell Rd
Hoffman Estates, IL 60169-2102

Phone

(847) 843-7030

Fax

(847) 843-2430

NPI assigned

Jun 22, 2009

Last updated

Jul 27, 2023By 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

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

Family Practice

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Dupage Medical Group LTDGroup PAC ID 5496667941, 1,326 clinicians

Cook Physician Services, P.C.Group PAC ID 4082053434, 59 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Guardian Angel Home Care of Park Ridge, Inc Home health agency, Park Ridge, IL, CCN 148011
• Astra Health West Home health agency, Elgin, IL, CCN 148172
• Family Home Health Services, Inc Home health agency, Addison, IL, CCN 147712
• St Alexius Medical Center Hospital, Hoffman Estates, IL, CCN 140290
• Alden Poplar Creek Rehab & HCC Nursing home, Hoffman Estates, IL, CCN 145403

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Dupage Medical Group LTD

  dba DuPage Medical Group

  • Multi-Specialty Clinic/Center
  • Downers Grove, IL
  • NPI 1801833983
  Medicare reassignment Care Compare group NPD
• Cook Physician Services, P.C.

  • Internal Medicine Physician
  • Evanston, IL
  • NPI 1487416376
  Medicare reassignment Care Compare group
• Dupage Emergency Physicians Convenient Care LLC

  • Emergency Medicine Physician
  • Lemont, IL
  • NPI 1922000363

  Family Medicine

  Medicare reassignment NPD
• Rush-Copley Medical Group, NFP

  • Family Medicine Physician
  • Aurora, IL
  • NPI 1093075848
  Medicare reassignment NPD
• Mercy Health System Corporation

  dba MHS Physician Services

  • Multi-Specialty Clinic/Center
  • Janesville, WI
  • NPI 1598718603

  IL

  Medicare reassignment NPD
• Sound Physicians of Illinois, LLC

  • Hospitalist Physician
  • Bridgeton, MO
  • NPI 1043598865

  Family Medicine, IL

  Medicare reassignment NPD
• Dupage Medical Group LTD

  • Durable Medical Equipment & Medical Supplies
  • Glen Ellyn, IL
  • NPI 1760979447
  NPD
• Mercy Health System Corporation

  dba Mercy Walworth Hospital and Medical Center

  • Critical Access Hospital
  • Lake Geneva, WI
  • NPI 1699728550
  NPD

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

• Alden-Poplar Creek Rehabilitation and Health Care Center, Inc.

  • Skilled Nursing Facility
  • Hoffman Estates, IL
  • NPI 1366439267

  Nursing home

  Care Compare affiliation
• Anjumohsi, Inc

  dba Astra Health West

  • Home Health Agency
  • Elgin, IL
  • NPI 1497991418
  Care Compare affiliation
• Family Home Health Services, Inc.

  • Home Health Agency
  • Addison, IL
  • NPI 1164474565
  Care Compare affiliation
• Guardian Angel Home Care of Park Ridge

  • Home Health Agency
  • Park Ridge, IL
  • NPI 1093353518
  Care Compare affiliation
• St. Alexius Medical Center

  • General Acute Care Hospital
  • Hoffman Estates, IL
  • NPI 1376644385
  Care Compare affiliation

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

{
    "created_epoch": "1245628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690416000000",
    "number": "1255568853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 713260",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606771260",
            "telephone_number": "630-469-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2359 HASSELL RD",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601692102",
            "telephone_number": "847-843-7030",
            "fax_number": "847-843-2430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHIUDDIN",
        "first_name": "SHAHAB",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-22",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036.130409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "smohiuddin173316@dulyhealthandcare.direct-ci.com",
            "affiliation": "N",
            "address_1": "2359 Hassell Rd",
            "city": "Hoffman Estates",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601692102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Krista R Mohamed, PA-C
• Tasnim Mohammad, M.D.
• Imranullah Mohammed
• Khurram Mohammed, PHARM.D
• Rubina Hasan Mohiuddin, PT
• William A. Mohs, DPM
• Juan David Molina Cortes
• Joel E Mollner, LCSW
• Ibolya Molnar, NP-C
• Martin J Monahan, M.D.

• Family Medicine Physician in Hoffman Estates, IL
• Providers in Hoffman Estates, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2023; 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.