Organization Active NPI

Priority One Healthcare LLC

  • Family Medicine Physician
  • Homewood, IL
National Provider Identifier
1265294409
Registry record updated Mar 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PRIORITY ONE HEALTHCARE LLC
Practice address
17901 Governors Hwy
Homewood, IL 60430-1144
Phone
(708) 213-7975
NPI assigned
Jan 24, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2025

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

Authorized official

Name
Dr. Priya Shastri, MD
Title
Physician
Phone
(708) 917-8773

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

17901 Governors Hwy
Homewood, IL 60430-1144

Mailing address

17901 Governors Hwy Ste 100
Homewood, IL 60430-1145
Phone (708) 917-8773

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address drpshastri@priority1hc.officeally.direct Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250819004872 IL Part B Supplier - Clinic/Group Practice 9436658077 Receives reassigned benefits from 1 practitioner
Practice locations: Homewood, IL

National Provider Directory

National Provider Directory

Locations

17901 Governors Hwy
Ste 100
Homewood, IL 60430
Phone (708) 213-7975

Interoperability endpoints

  • Direct secure messaging: drpshastri@priority1hc.officeally.direct

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1706054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741737600000",
    "number": "1265294409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17901 GOVERNORS HWY STE 100",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604301145",
            "telephone_number": "708-917-8773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17901 GOVERNORS HWY",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604301144",
            "telephone_number": "708-213-7975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIORITY ONE HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-24",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A",
        "authorized_official_last_name": "SHASTRI",
        "authorized_official_first_name": "PRIYA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "708-917-8773",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drpshastri@priority1hc.officeally.direct",
            "affiliation": "N",
            "endpointDescription": "Family Medicine clinic EMR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "17901 Governors Hwy",
            "city": "Homewood",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604301144",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Homewood, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.