Shahida Tanveer, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

036083262 Issued in IL

Practice address

1600 167TH St Ste 250
Calumet City, IL 60409-5484

Phone

(708) 891-0089

Fax

(708) 891-0681

NPI assigned

Nov 14, 2006

Last updated

Jan 11, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Comprehensive Pediatric Care 1 LTD

  • Pediatrics Physician
  • Calumet City, IL
  • NPI 1346313160
  NPD Authorized official

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641859200000",
    "number": "1427120849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 S HIGHLAND AVE STE 350",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601487129",
            "telephone_number": "630-916-1400",
            "fax_number": "708-891-0681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 167TH ST STE 250",
            "city": "CALUMET CITY",
            "state": "IL",
            "postal_code": "604095484",
            "telephone_number": "708-891-0089",
            "fax_number": "708-891-0681"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2500 S Highland Ave Ste 350",
            "address_purpose": "LOCATION",
            "city": "Lombard",
            "state": "IL",
            "postal_code": "601487129",
            "country_code": "US",
            "telephone_number": "630-916-1400",
            "fax_number": "708-891-0681",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TANVEER",
        "first_name": "SHAHIDA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-14",
        "last_updated": "2022-01-11",
        "certification_date": "2021-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036083262",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036083262",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "stanveer252221@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1600 167th St Ste 250",
            "city": "Calumet City",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604095484",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• The University of Chicago Medical Center (UCMC Pharmacy Services)

• Pediatrics Physician in Calumet City, IL
• Providers in Calumet City, IL by specialty
• Pediatrics Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.