Individual provider Active NPI

Madiha Shabbir, M.D.

  • Psychiatry Physician
  • Hinsdale, IL
National Provider Identifier
1316353527
Registry record updated Apr 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
125.065819 Issued in IL
Practice address
201 E Ogden Ave Ste 220
Hinsdale, IL 60521-3661
Phone
(630) 892-0417
NPI assigned
Jul 8, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 125.065819 IL Primary

Addresses

Primary practice location

201 E Ogden Ave Ste 220
Hinsdale, IL 60521-3661

Mailing address

201 E Ogden Ave Ste 220
Hinsdale, IL 60521-3661
Phone (630) 892-0417

Other practice location 1

3333 Green Bay Rd
North Chicago, IL 60064-3037
Phone (847) 578-3000

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
I20180522000713 IL Practitioner - Psychiatry 6305145376 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ascend TMS LLCGroup PAC ID 6800290446, 2 clinicians

Practice addresses (Care Compare)

555 Plainfield Rd
Suite F
Willowbrook, IL 60527-7616
Phone (630) 850-0604

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125.065819ILMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Riveredge Hospital Inc CurrentSince Jul 15, 2024 Accepting new patients
Endeavor Health Medical Group CurrentSince May 2, 2018 Accepting new patients
83Rd Professional Group LLC Psychiatry CurrentSince May 3, 2021 Accepting new patients
Hinsdale Behavioral Health Clinic Psychiatry CurrentSince Nov 1, 2020 Accepting new patients
Endeavor Health Medical Group CurrentSince May 2, 2018 Accepting new patients
Ascend TMS LLC Psychiatry CurrentSince May 3, 2021 Accepting new patients

Locations

9532 Eagle Way
Chicago, IL 60678

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

8311 Roosevelt Rd
Forest Park, IL 60130
Phone (708) 488-4968

201 E Ogden Ave
Ste 220
Hinsdale, IL 60521
Phone (630) 892-0417

555 Plainfield Rd
Ste F
Willowbrook, IL 60527
Phone (630) 850-0600

Interoperability endpoints

  • Direct secure messaging: ascendtms.madihashabbir@149697.advancedmd-direct.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1404777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617235200000",
    "number": "1316353527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 E OGDEN AVE STE 220",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605213661",
            "telephone_number": "630-892-0417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E OGDEN AVE STE 220",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605213661",
            "telephone_number": "630-892-0417"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3333 Green Bay Rd",
            "address_purpose": "LOCATION",
            "city": "North Chicago",
            "state": "IL",
            "postal_code": "600643037",
            "country_code": "US",
            "telephone_number": "847-578-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHABBIR",
        "first_name": "MADIHA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-08",
        "last_updated": "2021-04-01",
        "certification_date": "2021-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "125.065819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hinsdale, IL

Sources for this page

Verify at the official NPI Registry.