Individual provider Active NPI

Shabbir Zarif, MD

  • Psychiatry Physician
  • Melrose Park, IL
National Provider Identifier
1386626265
Registry record updated Jul 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
036073231 Issued in IL
Practice address
675 W North Ave Ste 608
Profession BLDG, Gottlieb Memorial Hospital, Suite 608
Melrose Park, IL 60160-1627
Phone
(708) 945-4923
Fax
(630) 468-2044
NPI assigned
Nov 16, 2005
Last updated
Jul 20, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2012

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 036073231 IL Primary

Addresses

Primary practice location

675 W North Ave Ste 608
Profession BLDG, Gottlieb Memorial Hospital, Suite 608
Melrose Park, IL 60160-1627

Mailing address

10 Kingsbury CT
Oak Brook, IL 60523-1721
Phone (708) 945-4923

Other identifiers 1

IdentifierTypeStateIssuer
036073231MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036073231ILMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Loyola University Physician Foundation Past Accepting new patients
Presence Behavioral Health Past Accepting new patients
Neurology, Clinical Neurophysiology, and Sleep Medicine, P.C. Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1132099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342742400000",
    "number": "1386626265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 KINGSBURY CT",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231721",
            "telephone_number": "708-945-4923",
            "fax_number": "630-468-2044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 W NORTH AVE STE 608",
            "address_2": "PROFESSION BLDG, GOTTLIEB MEMORIAL HOSPITAL, SUITE 608",
            "city": "MELROSE PARK",
            "state": "IL",
            "postal_code": "601601627",
            "telephone_number": "708-945-4923",
            "fax_number": "630-468-2044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZARIF",
        "first_name": "SHABBIR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-16",
        "last_updated": "2012-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036073231",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036073231",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Melrose Park, IL

Sources for this page

Verify at the official NPI Registry.