Active NPI
Shivani Katyal, DO
- Family Medicine Physician
- Oswego, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 036146514
- Practice address
- 6701 US Highway 34
Oswego, IL 60543-9129 - Phone
- (630) 646-4255
- Fax
- (630) 548-5313
- NPI assigned
- May 28, 2015
- Last updated
- Jun 6, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OP61101964 | WA | |
| Family Medicine Physician | 207Q00000X | 036146514 | IL | Primary |
Addresses
Primary practice location
6701 US Highway 34
Oswego, IL 60543-9129
Mailing address
1145 Broadway
Seattle, WA 98122-4201
Phone (206) 860-5414
Other practice location 1
509 Olive Way Ste 900
Seattle, WA 98101-1724
Phone (206) 326-1760
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2650 Ridge Ave
Evanston, IL 60201-1700
6701 US Hwy 34
Oswego, IL 60543-9129
Phone (630) 646-4255
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036146514 | IL | MD | Family Medicine Physician |
| OP61101964 | WA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Polyclinic | Current | Accepting new patients | |
| The Polyclinic PLLC | Family Medicine | Current | Accepting new patients |
| Endeavor Health Medical Group | Current | Accepting new patients | |
| Endeavor Health Medical Group | Family Medicine | Current | Accepting new patients |
| Advocate Health and Hospitals Corporation | Current | Accepting new patients | |
| Advocate Health and Hospitals Corporation | Current | Accepting new patients | |
| Advocate Health & Hospitals Corp. | Current | Accepting new patients | |
| The Polyclinic PLLC | Family Medicine | Current | Accepting new patients |
Locations
214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160
29373 Network Pl
Chicago, IL 60673
9532 Eagle Way
Chicago, IL 60678
2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206
2650 Ridge Ave
#1223
Evanston, IL 60201
Phone (847) 982-3172
2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222
4140 Southwest Hwy
Oak Lawn, IL 60456
Phone (708) 422-5700
6701 US Highway 34
Oswego, IL 60543
Phone (630) 646-4200
1145 Broadway
Seattle, WA 98122
509 Olive Way
Ste 900
Seattle, WA 98101
Phone (206) 223-2611
Interoperability endpoints
- https://api.platform.athenahealth.com/3889/brand/1/csg/1/fhir/r4
- skatyal280101@direct.edward.org
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba NorthShore University HealthSystem Faculty Practice Associates
- Emergency Medicine Physician
- Evanston, IL
- NPI 1497701882
Family Medicine
-
dba Advocate Medical Group
- Multi-Specialty Clinic/Center
- Oak Brook, IL
- NPI 1700824455
-
dba Bethany Hospital
- Emergency Medicine Physician
- Chicago, IL
- NPI 1750315545
-
dba Advocate Children's Hospital
- Children's Hospital
- Oak Lawn, IL
- NPI 1508315516
-
dba NorthShore Anesthesia Group
- Anesthesiology Physician
- Evanston, IL
- NPI 1265695944
-
- Ambulatory Surgical Clinic/Center
- Seattle, WA
- NPI 1073944039
-
dba Optum Tacoma
- Durable Medical Equipment & Medical Supplies
- Tacoma, WA
- NPI 1831411487
Family Medicine
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Endeavor Health Edward Hospital
- General Acute Care Hospital
- Naperville, IL
- NPI 1427069632
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780704000000",
"number": "1366821811",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1145 BROADWAY",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981224201",
"telephone_number": "206-860-5414",
"fax_number": "206-720-8462"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6701 US HIGHWAY 34",
"city": "OSWEGO",
"state": "IL",
"postal_code": "605439129",
"telephone_number": "630-646-4255",
"fax_number": "630-548-5313"
}
],
"practiceLocations": [
{
"address_1": "509 Olive Way Ste 900",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "981011724",
"country_code": "US",
"telephone_number": "206-326-1760",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KATYAL",
"first_name": "SHIVANI",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-05-28",
"last_updated": "2026-06-06",
"certification_date": "2026-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "OP61101964",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036146514",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oswego, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.