NPIMap

Individual provider Active NPI

Christiana S. Shoushtari, MD, MPH

  • Internal Medicine Physician
  • Aurora, CO
National Provider Identifier
1265938906
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
DR.0073051 Issued in CO
Practice address
740 Peoria St
Aurora, CO 80011-8231
Phone
(720) 531-7111
NPI assigned
Apr 2, 2018
Last updated
Aug 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 125.072972 IL
Internal Medicine Physician 207R00000X 036153562 IL
Internal Medicine Physician 207R00000X DR.0073051 CO Primary

Addresses

Primary practice location

740 Peoria St
Aurora, CO 80011-8231

Mailing address

PO Box 746081
Atlanta, GA 30374-6081

Other practice location 1

1775 Ballard Rd
Park Ridge, IL 60068
Phone (847) 318-9340

Other practice location 2

3433 W Madison St
Chicago, IL 60624
Phone (773) 242-2299

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, CO2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220128001225 IL Practitioner - Internal Medicine 6305238189 Reassigns benefits to 1 organization
I20240925000020 CO Practitioner - Internal Medicine 6305238189 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2018
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

740 Peoria St
Aurora, CO 80011-8231
Phone (720) 531-7111

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR.0073051COMDInternal Medicine Physician
125.072972ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oak Street Health Physicians Group, PC Internal Medicine CurrentSince Jan 18, 2022 Accepting new patients
Oak Street Health Physicians Group of Colorado, PLLC Internal Medicine Current Accepting new patients
Oak Street Health Physicians Group of Colorado, PLLC Internal Medicine CurrentSince Aug 1, 2024 Accepting new patients
Osh-Il Physicians Group LLC Internal Medicine CurrentSince Jan 18, 2022 Accepting new patients
Oak Street Health Physicians Group of Colorado, PLLC Internal Medicine CurrentSince Aug 1, 2024 Accepting new patients

Locations

740 Peoria St
Aurora, CO 80011
Phone (720) 531-7111

4380 Austin Bluffs Pkwy
Colorado Springs, CO 80918
Phone (719) 454-6010

3433 W Madison St
Chicago, IL 60624
Phone (773) 242-2299

4848 W Irving Park Rd
Chicago, IL 60641
Phone (773) 724-6200

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 38

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

View all 38

NPI Registry JSON

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

{
    "created_epoch": "1522627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722816000000",
    "number": "1265938906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746081",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 PEORIA ST",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800118231",
            "telephone_number": "720-531-7111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1775 Ballard Rd",
            "address_purpose": "LOCATION",
            "city": "Park Ridge",
            "state": "IL",
            "postal_code": "60068",
            "country_code": "US",
            "telephone_number": "847-318-9340",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3433 W Madison St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "60624",
            "country_code": "US",
            "telephone_number": "773-242-2299",
            "fax_number": "773-830-1920",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHOUSHTARI",
        "first_name": "CHRISTIANA",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "MD, MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-02",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "125.072972",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036153562",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "DR.0073051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.