Organization Active NPI

Shabiha Zaidi M.D.S.C.

  • Internal Medicine Physician
  • Bartlett, IL
National Provider Identifier
1356632566
Registry record updated Dec 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036125856 Issued in IL
Legal business name
SHABIHA ZAIDI M.D.S.C.
Practice address
776 W Bartlett Rd
Bartlett, IL 60103-4482
Phone
(847) 841-3496
Fax
(847) 660-2662
NPI assigned
Apr 21, 2011
Last updated
Dec 12, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2024

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

Authorized official

Name
Dr. Shabiha Zaidi, M.D.NPI 1235335571
Title
President
Phone
(773) 615-9406

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036125856 IL Primary

Addresses

Primary practice location

776 W Bartlett Rd
Bartlett, IL 60103-4482

Mailing address

776 W Bartlett Rd
Bartlett, IL 60103-4482
Phone (847) 841-3496

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110705000179 IL Part B Supplier - Clinic/Group Practice 0749468213 Receives reassigned benefits from 4 practitioners
Practice locations: Schaumburg, IL; Bartlett, IL; Hoffman Estates, IL

National Provider Directory

National Provider Directory

Locations

776 W Bartlett Rd
Bartlett, IL 60103
Phone (630) 837-3707

321 S Barrington Rd
Schaumburg, IL 60193
Phone (630) 634-2665

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1303344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733961600000",
    "number": "1356632566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "776 W BARTLETT RD",
            "city": "BARTLETT",
            "state": "IL",
            "postal_code": "601034482",
            "telephone_number": "847-841-3496",
            "fax_number": "847-660-2662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "776 W BARTLETT RD",
            "city": "BARTLETT",
            "state": "IL",
            "postal_code": "601034482",
            "telephone_number": "847-841-3496",
            "fax_number": "847-660-2662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHABIHA ZAIDI M.D.S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-21",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A",
        "authorized_official_last_name": "ZAIDI",
        "authorized_official_first_name": "SHABIHA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-615-9406",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036125856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bartlett, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.