Individual provider Active NPI

M Tahir Sheikh, M.D.

  • Psychiatry Physician
  • Riverside, IL
National Provider Identifier
1356397210
Registry record updated Apr 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
036050645 Issued in IL
Practice address
7234 Ogden Ave
Suite 3N
Riverside, IL 60546-2269
Phone
(708) 447-2277
Fax
(708) 447-2274
NPI assigned
May 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2022

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 036050645 IL Primary

Addresses

Primary practice location

7234 Ogden Ave
Suite 3N
Riverside, IL 60546-2269

Mailing address

1341 Warren Ave
Downers Grove, IL 60515-3401
Phone (630) 719-5454

Other identifiers 1

IdentifierTypeStateIssuer
036050645MedicaidIL

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address tsheikh206647@direct.myadvocateaurora.org Direct
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

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
I20060419000077 IL Practitioner - Psychiatry 1153378278 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1969
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1341 Warren Ave
Downers Grove, IL 60515-3437
Phone (630) 719-5454

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036050645ILMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advocate Health and Hospitals Corporation Current Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Feb 23, 2015 Accepting new patients
Advocate Health & Hospitals Corporation CurrentSince Feb 23, 2015 Accepting new patients
Riverside Psychiatric & Counseling P C Psychiatry PastSince Feb 1, 1984 Accepting new patients

Locations

214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160

29373 Network Pl
Chicago, IL 60673

1341 Warren Ave
Downers Grove, IL 60515
Phone (630) 275-1125

1341 Warren Ave
Ste B
Downers Grove, IL 60515
Phone (630) 719-5454

Organizations & group practices 4

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": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650412800000",
    "number": "1356397210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1341 WARREN AVE",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605153401",
            "telephone_number": "630-719-5454",
            "fax_number": "630-719-1263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7234 OGDEN AVE",
            "address_2": "SUITE 3N",
            "city": "RIVERSIDE",
            "state": "IL",
            "postal_code": "605462269",
            "telephone_number": "708-447-2277",
            "fax_number": "708-447-2274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEIKH",
        "first_name": "M",
        "middle_name": "TAHIR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2022-04-20",
        "certification_date": "2022-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036050645",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036050645",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tsheikh206647@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "7234 Ogden Ave",
            "address_2": "Suite 3N",
            "city": "Riverside",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605462269",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "7234 Ogden Ave",
            "address_2": "Suite 3N",
            "city": "Riverside",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605462269",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Riverside, IL

Sources for this page

Verify at the official NPI Registry.