Shakir Moiduddin, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Practice address

7530 W College Dr
Suite C
Palos Heights, IL 60463

Phone

(708) 361-0911

Fax

(708) 361-1379

NPI assigned

Oct 26, 2006

Last updated

Jul 8, 2007By 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

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 PracticeAlso: Internal Medicine

Education

Other, 1968

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Shahbain Internal Medicine LTDGroup PAC ID 9537152459, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Palos Community Hospital Hospital, Palos Heights, IL, CCN 140062
• Northwestern Medicine Central Dupage Hospital Hospital, Winfield, IL, CCN 140242

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Shahbain Internal Medicine LTD

  • Internal Medicine Physician
  • Palos Heights, IL
  • NPI 1295924439
  Medicare reassignment Care Compare group
• Excellent Medical Associates, P.C.

  • General Practice Physician
  • Orland Park, IL
  • NPI 1215223623
  Medicare reassignment NPD
• Palos Heights Medical Center

  dba shakir moiduddin

  • Family Medicine Physician
  • Palos Heights, IL
  • NPI 1245428374
  Authorized official Same address or phone
• Vital Medical Associates PC

  • Primary Care Clinic/Center
  • Des Plaines, IL
  • NPI 1154186203
  NPD
• Vital Medical Associates PC

  • Urgent Care Clinic/Center
  • Des Plaines, IL
  • NPI 1417765975
  NPD
• Ijaz Qayyum M.D.,S.C.

  • Surgery Physician
  • Palos Heights, IL
  • NPI 1437477270
  NPD (past)

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

• Central Dupage Hospital Association

  dba Northwestern Medicine Central Dupage Hospital

  • General Acute Care Hospital
  • Winfield, IL
  • NPI 1003864810
  Care Compare affiliation
• Central Dupage Hospital Association

  dba Northwestern Medicine Central Dupage Hospital

  • Psychiatric Hospital Unit
  • Winfield, IL
  • NPI 1740230895
  Care Compare affiliation
• Palos Community Hospital

  • Psychiatric Hospital Unit
  • Palos Heights, IL
  • NPI 1184699118
  Care Compare affiliation
• Palos Community Hospital

  • General Acute Care Hospital
  • Palos Heights, IL
  • NPI 1851386692
  Care Compare affiliation

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295810547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7530 W COLLEGE DR",
            "address_2": "SUITE C",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "60463",
            "telephone_number": "708-361-0911",
            "fax_number": "708-361-1379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7530 W COLLEGE DR",
            "address_2": "SUITE C",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "60463",
            "telephone_number": "708-361-0911",
            "fax_number": "708-361-1379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOIDUDDIN",
        "first_name": "SHAKIR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chiedozie Mkpolulu, M.D.
• ML Etchison and Associates, Inc.
• Ronald Mochizuki, M.D.
• James M Mohan, M.D.
• Latifa Mohsin
• Terrence C Moisan, M.D.
• Candice Morales
• Phillip F Morreale, DPM
• Margaret Ann Moss I, LCSW
• Kimberly Ann Moyer, LCPC

• Family Medicine Physician in Palos Heights, IL
• Providers in Palos Heights, 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 8, 2007; 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.