Individual provider Active NPI

Milind Sham Shirsat, DO

  • Hospitalist Physician
  • Bolingbrook, IL
National Provider Identifier
1265521033
Registry record updated Mar 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
036108790 Issued in IL
Practice address
1000 Remington Blvd
Suite 200
Bolingbrook, IL 60440-5114
Phone
(630) 312-7755
Fax
(630) 856-9933
NPI assigned
Oct 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036108790 IL
Hospitalist Physician 208M00000X 036108790 IL Primary

Addresses

Primary practice location

1000 Remington Blvd
Suite 200
Bolingbrook, IL 60440-5114

Mailing address

1000 Remington Blvd
Suite 200
Bolingbrook, IL 60440-5114
Phone (630) 312-7755

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
I20050527000208 IL Practitioner - Internal Medicine 4183666373 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Chicago College of Osteopathy, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advance Inpatient Medicine LLCGroup PAC ID 8022305697, 42 clinicians

Practice addresses (Care Compare)

500 Remington Blvd
Bolingbrook, IL 60440-4906
Phone (630) 312-5000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036108790ILMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advance Inpatient Medicine LLC Hospitalist CurrentSince Oct 1, 2016 Accepting new patients
Suburban Pulmonary & Sleep Associates LTD CurrentSince Jun 18, 2018 Accepting new patients
VHS of Illinois Inc Internal Medicine Past Accepting new patients
Macneal Physicians Group LLC Internal Medicine Past Accepting new patients
Signature Healthcare Solutions,SC Internal Medicine Past Accepting new patients

Locations

3249 Oak Park Ave
Berwyn, IL 60402
Phone (708) 783-2696

500 Remington Blvd
Bolingbrook, IL 60440
Phone (630) 312-5000

903 Commerce Dr
Ste 333
Oak Brook, IL 60523
Phone (630) 571-6770

120 N Oak St
Oak Brook Mall, IL 60521
Phone (630) 856-6700

1131 W Jefferson St
Shorewood, IL 60404

700 E Ogden Ave
Ste 202
Westmont, IL 60559
Phone (630) 528-3215

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488758400000",
    "number": "1265521033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 REMINGTON BLVD",
            "address_2": "SUITE 200",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604405114",
            "telephone_number": "630-312-7755",
            "fax_number": "630-856-9933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 REMINGTON BLVD",
            "address_2": "SUITE 200",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604405114",
            "telephone_number": "630-312-7755",
            "fax_number": "630-856-9933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIRSAT",
        "first_name": "MILIND",
        "middle_name": "SHAM",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2017-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036108790",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IL",
            "license": "036108790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bolingbrook, IL

Sources for this page

Verify at the official NPI Registry.