Active NPI
Gazi Moin Ahmed Shaik, MD
- Family Medicine Physician
- Chicago, IL
National Provider Identifier
1386532786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 125.086971
- Practice address
- 1625 E 75TH St
Chicago, IL 60649-3603 - Phone
- (773) 947-7310
- NPI assigned
- Jun 25, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 125.086971 | IL | Primary |
Addresses
Primary practice location
1625 E 75TH St
Chicago, IL 60649-3603
Mailing address
2801 S King Dr Apt 209
Chicago, IL 60616-2975
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125.086971 | IL | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750809600000",
"number": "1386532786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2801 S KING DR APT 209",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606162975"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1625 E 75TH ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606493603",
"telephone_number": "773-947-7310"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAIK",
"first_name": "GAZI MOIN AHMED",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-06-25",
"last_updated": "2025-06-25",
"certification_date": "2025-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "125.086971",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.