Individual provider Active NPI

Jamile Shammo, M.D.

  • Hematology & Oncology Physician
  • Chicago, IL
National Provider Identifier
1316906779
Registry record updated Oct 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
036082131 Issued in IL
Practice address
645 N Michigan Ave Ste 1020
Chicago, IL 60611-2814
Phone
(312) 695-6832
Fax
(312) 695-7814
NPI assigned
Mar 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology (Internal Medicine) Physician 207RH0000X 036082131 IL
Hematology & Oncology Physician 207RH0003X 036082131 IL Primary

Addresses

Primary practice location

645 N Michigan Ave Ste 1020
Chicago, IL 60611-2814

Mailing address

1725 W Harrison St
Suite 1010
Chicago, IL 60612-3841
Phone (312) 942-5904

Other practice location 1

1725 W Harrison St
Suite 1010
Chicago, IL 60612-3841
Phone (312) 942-5904

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
I20040930001060 IL Practitioner - Hematology/OncologyPractitioner - Internal MedicinePractitioner - Hematology 3072582568 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Internal Medicine
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

676 N Saint Clair St
Suite 2140
Chicago, IL 60611-3143
Phone (312) 695-0990

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.19 of 100Reported as apm
Quality
83.05
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036082131ILMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rush University Medical Group CurrentSince Mar 1, 2020 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Aug 1, 2022 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Aug 1, 2022 Accepting new patients
Rush University Medical Center Hematology Past Accepting new patients
Central Dupage Physician Group Past Accepting new patients

Locations

Dept 5777
Carol Stream, IL 60122

Carol Stream, IL 60122
Phone (630) 933-3300

75 Remittance Dr
Dept 1611
Chicago, IL 60675

676 N Saint Clair St
Ste 2140
Chicago, IL 60611
Phone (312) 664-5400

1725 W Harrison St
Ste 855
Chicago, IL 60612
Phone (312) 563-2320

645 N Michigan Ave
Ste 1020
Chicago, IL 60611
Phone (312) 695-6832

1725 W Harrison St
Ste 1010
Chicago, IL 60612
Phone (312) 942-5904

1700 W Van Buren St
#500
Chicago, IL 60612
Phone (312) 563-2875

660 N Westmoreland Rd
#302
Lake Forest, IL 60045

430 Warrenville Rd
Ste 2
Lisle, IL 60532
Phone (630) 724-8700

Interoperability endpoints

  • Direct secure messaging: jshammomd2182@direct.rush.rush-health.com

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.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1142985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665964800000",
    "number": "1316906779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 W HARRISON ST",
            "address_2": "SUITE 1010",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123841",
            "telephone_number": "312-942-5904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 N MICHIGAN AVE STE 1020",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112814",
            "telephone_number": "312-695-6832",
            "fax_number": "312-695-7814"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1725 W Harrison St",
            "address_2": "Suite 1010",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606123841",
            "country_code": "US",
            "telephone_number": "312-942-5904",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAMMO",
        "first_name": "JAMILE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-22",
        "last_updated": "2022-10-17",
        "certification_date": "2022-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology",
            "state": "IL",
            "license": "036082131",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "IL",
            "license": "036082131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.