Individual provider Active NPI

Mehwish Sajid Sheikh, MD

  • Neonatal-Perinatal Medicine Physician
  • Evanston, IL
National Provider Identifier
1407019110
Registry record updated Mar 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X
License
036134345 Issued in IL
Practice address
2650 Ridge Ave.
Walgreen 1505
Evanston, IL 60201
Phone
(847) 570-2033
Fax
(847) 570-0231
NPI assigned
Jul 3, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 036134345 IL
Pediatrics Physician 208000000X 26486 OK
Neonatal-Perinatal Medicine Physician 2080N0001X 01083768A IN
Neonatal-Perinatal Medicine Physician 2080N0001X 036134345 IL Primary

Addresses

Primary practice location

2650 Ridge Ave.
Walgreen 1505
Evanston, IL 60201

Mailing address

2650 Ridge Ave.
Walgreen 1505
Evanston, IL 60201
Phone (847) 570-2033

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220302002863 IL Practitioner - Critical Care (Intensivists)Practitioner - Pediatric Medicine 6204084601 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036134345ILMDPediatrics Physician
26486OKMDPediatrics Physician
01083768AINMDNeonatal-Perinatal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Endeavor Health Medical Group Pediatrics CurrentSince Feb 17, 2022 Accepting new patients
Board of Trustees of the University of Illinois Pediatrics CurrentSince Jun 15, 2022 Accepting new patients
Endeavor Health Medical Group CurrentSince Feb 17, 2022 Accepting new patients
The Board of Trustees of the University of Illinois CurrentSince Jun 15, 2022 Accepting new patients
The Board of Trustees of the University of Illinois Current Accepting new patients
Monroe Hma Physician Management LLC PastSince Jan 13, 2014 Accepting new patients
Renaissance Medical Group PastSince Jun 1, 2020 Accepting new patients

Locations

7694 Solutions Ctr
Chicago, IL 60677

9532 Eagle Way
Chicago, IL 60678

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

2650 Ridge Ave
Ste 1505
Evanston, IL 60201
Phone (847) 570-2033

4440 W 95th St
Rm 250N
Oak Lawn, IL 60453
Phone (708) 684-5722

1 Illini Dr
Peoria, IL 61605
Phone (309) 671-3000

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1215043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647302400000",
    "number": "1407019110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 RIDGE AVE.",
            "address_2": "WALGREEN 1505",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "60201",
            "telephone_number": "847-570-2033",
            "fax_number": "847-570-0231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 RIDGE AVE.",
            "address_2": "WALGREEN 1505",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "60201",
            "telephone_number": "847-570-2033",
            "fax_number": "847-570-0231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEIKH",
        "first_name": "MEHWISH",
        "middle_name": "SAJID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-03",
        "last_updated": "2022-03-15",
        "certification_date": "2022-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036134345",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OK",
            "license": "26486",
            "primary": false
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "IN",
            "license": "01083768A",
            "primary": false
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "IL",
            "license": "036134345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evanston, IL

Sources for this page

Verify at the official NPI Registry.