Active NPI
Shankar Das, M.D.
- Family Medicine Physician
- Chicago, IL
National Provider Identifier
1316060965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 036119559
- Practice address
- 8700 S Dante Ave
Chicago, IL 60619-7118 - Phone
- (773) 221-3900
- NPI assigned
- Apr 9, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 036119559 | IL | Primary |
Addresses
Primary practice location
8700 S Dante Ave
Chicago, IL 60619-7118
Mailing address
9680 Golf Rd
Second Floor
Des Plaines, IL 60016-1522
Phone (847) 502-4156
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036119559 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Associated Medical Centers of Illinois, LTD. | Family Medicine | Current | Accepting new patients |
| Illinois Back and Joint PLLC | Family Medicine | Past | Accepting new patients |
| Countryview Medical Center SC | Past | Accepting new patients | |
| Wheaton Medical SC | Family Medicine | Past | Accepting new patients |
| Countryside Medical SC | Past | Accepting new patients |
Locations
7531 S Stony Island Ave
Ste 176
Chicago, IL 60649
Phone (773) 288-1644
7531 S Stony Island Ave
Chicago, IL 60649
Phone (773) 947-7310
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1403222400000",
"number": "1316060965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9680 GOLF RD",
"address_2": "SECOND FLOOR",
"city": "DES PLAINES",
"state": "IL",
"postal_code": "600161522",
"telephone_number": "847-502-4156"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8700 S DANTE AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606197118",
"telephone_number": "773-221-3900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAS",
"first_name": "SHANKAR",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-09",
"last_updated": "2014-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036119559",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036119559",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.