Shivani Chadha, M.D.
Individual provider Active NPI Interventional Pain Medicine Physician · Willowbrook, IL
NPI 1376710210 · NPPES record last updated Mar 3, 2021
Key facts
- NPI
- 1376710210
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Interventional Pain Medicine Physician 208VP0014X
- License
- 036-128363 (IL)
- Practice address
- 6715 Kingery Hwy
Willowbrook, IL 60527-5142 - Phone
- (630) 537-1125
- Fax
- (630) 861-0929
- NPI assigned
- May 9, 2008
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 6
Medicare Care Compare profile
- Specialty
- Pain Management
- Education
- Rush Medical College of Rush University, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
6715 Kingery Hwy
Willowbrook, IL 60527-5142
Phone (630) 537-1125
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20121026000747 | IL | Practitioner - Pain Management |
1355591397 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 57.012428 | OH | MD | Anesthesiology Physician |
| 036-128363 | IL | MD | Interventional Pain Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Health SC | Current |
Accepting new patients | |
| Premiere Anesthesia Group LLC | Current |
Accepting new patients | |
| Pri Chicago PLLC | Current |
Accepting new patients | |
| Priority Anesthesia LLC | Anesthesiology | Past |
Accepting new patients |
| Physician Anesthesia Associates, S.C. | Anesthesiology | Past | Accepting new patients |
Locations
188 W Industrial Dr
#110D
Elmhurst, IL 60126
Phone (630) 516-9100
188 W Industrial Dr
Ste 110
Elmhurst, IL 60126
Phone (331) 979-7475
6715 Kingery Hwy
Willowbrook, IL 60527
Phone (630) 455-0212
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 57.012428 | OH | |
| Interventional Pain Medicine Physician | 208VP0014X | 036-128363 | IL | Yes |
Addresses
Primary practice location
6715 Kingery Hwy
Willowbrook, IL 60527-5142
Mailing address
6715 Kingery Hwy
Willowbrook, IL 60527-5142
Phone (630) 537-1125
Other providers in Willowbrook, IL
- Carla A Carpenter
- Syreeta Monee Carter
- Yolanda Castaneda
- Center for Natural Therapies, LTD.
- Corinne Sullivan Cescolini
- Leon J Chambers
- Chateau Nursing and Rehabilitation Center, LLC
- Edward M Chen
- Jessie S. Cheung
- Grace Catherine Chiaro-Bolch
All providers in Willowbrook, IL · Interventional Pain Medicine Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 3, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.