Nazeer Shaik, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036085250 Issued in IL

Practice address

7604 W 63Rd St
Summit, IL 60501-1812

Phone

(708) 458-7170

Fax

(708) 458-7172

NPI assigned

Nov 1, 2006

Last updated

Dec 10, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 5

Other names 1

• Nazeer Shaik Professional name

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

Internal Medicine

Education

Other, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Saint Joseph Medical Center Hospital, Joliet, IL, CCN 140007
• Osf Little Company of Mary Medical Center Hospital, Evergreen Park, IL, CCN 140179

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Hakeem Health Care Inc

  • Internal Medicine Physician
  • Hazel Crest, IL
  • NPI 1568491322
  Medicare reassignment NPD Authorized official
• Issan Health Care Group LTD

  • Internal Medicine Physician
  • Joliet, IL
  • NPI 1770516957
  Medicare reassignment NPD Authorized official
• Asra Health Care LTD

  • Internal Medicine Physician
  • Joliet, IL
  • NPI 1467690370
  Authorized official Same address or phone
• MNM Home MD Inc.

  • Internal Medicine Physician
  • Joliet, IL
  • NPI 1164853388
  Authorized official Same address or phone
• Urgent Care of Joliet, LLC

  • Internal Medicine Physician
  • Joliet, IL
  • NPI 1194042879
  Authorized official Same address or phone
• Suhail Health Care Inc

  • Family Medicine Physician
  • Hazel Crest, IL
  • NPI 1700554599
  NPD (past)

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

• Osf Healthcare System

  dba OSF Little Company of Mary Medical Center

  • General Acute Care Hospital
  • Evergreen Park, IL
  • NPI 1215572045
  Care Compare affiliation
• Saint Joseph Medical Center - Joliet LLC

  • General Acute Care Hospital
  • Joliet, IL
  • NPI 1760220198
  Care Compare affiliation

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544400000000",
    "number": "1295813996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 N LARKIN AVE STE 103",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604353442",
            "telephone_number": "815-744-7400",
            "fax_number": "815-744-7435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7604 W 63RD ST",
            "city": "SUMMIT",
            "state": "IL",
            "postal_code": "605011812",
            "telephone_number": "708-458-7170",
            "fax_number": "708-458-7172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAIK",
        "first_name": "NAZEER",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2018-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036085250",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "01606583",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036085250",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00303542",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "01634377",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110145578",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NAZEER",
            "last_name": "SHAIK",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Anthony Rio
• Andrea Rocha
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• Dilip Shah, M.D.
• Kirit C Shah, M.D.
• Benjamin Silva
• Valerie L Stout, CNM
• Summit Behavioral Health
• Summit Dental Center LLC
• Summit Medical Center S.C.

• Internal Medicine Physician in Summit, IL
• Providers in Summit, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2018; 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.