Shadi Latta, MD

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

036121973 Issued in IL

Practice address

17333 La Grange Rd Ste 200
Tinley Park, IL 60487-7510

Phone

(708) 342-1900

Fax

(708) 745-9993

NPI assigned

Jul 2, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL, WI, SD, IA4 enrollments

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 4

Specialty

Medical Oncology

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mercy Clinics IncGroup PAC ID 7911810882, 441 clinicians

Dean Health Systems IncGroup PAC ID 7012827983, 1,174 clinicians

Monument Health Rapid City Hospital IncGroup PAC ID 6002729506, 560 clinicians

Affiliated Oncologists LLCGroup PAC ID 2365606563, 43 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mercyone Des Moines Medical Center Hospital, Des Moines, IA, CCN 160083
• Monument Health Rapid City Hospital Hospital, Rapid City, SD, CCN 430077
• Palos Community Hospital Hospital, Palos Heights, IL, CCN 140062
• SSM Health St Clare Hospital - Baraboo Hospital, Baraboo, WI, CCN 520057
• Saint Joseph Medical Center Hospital, Joliet, IL, CCN 140007

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: slatta560909@direct-ehr-ssmhc.com
• Direct secure messaging: shadi.latta@affiliatedoncologists.ikm.direct-ci.com
• Direct secure messaging: slattamd421012@carlehiedirect.net

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.

• Affiliated Oncologists, LLC

  • Medical Oncology Physician
  • Oak Lawn, IL
  • NPI 1225314362

  Hematology & Oncology

  Medicare reassignment Care Compare group NPD
• Dean Health Systems, Inc

  • Allergy & Immunology Physician
  • Madison, WI
  • NPI 1053358846

  Hematology & Oncology

  Medicare reassignment Care Compare group NPD
• Mercy Clinics, Inc.

  • Primary Care Clinic/Center
  • Clive, IA
  • NPI 1487670923
  Medicare reassignment Care Compare group
• Monument Health Rapid City Hospital, Inc

  • Multi-Specialty Clinic/Center
  • Rapid City, SD
  • NPI 1275553463
  Medicare reassignment Care Compare group
• Dean Health Systems, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Portage, WI
  • NPI 1427085679
  NPD
• Gynecological Cancer Institute of Chicago, LLC

  • Gynecologic Oncology Physician
  • Oak Lawn, IL
  • NPI 1114318474
  NPD (past)
• Mobile Anesthesiologists Chicago LLC

  • Anesthesiology Physician
  • Rosemont, IL
  • NPI 1396887774
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Palos Community Hospital

  • Psychiatric Hospital Unit
  • Palos Heights, IL
  • NPI 1184699118
  Care Compare affiliation
• Palos Community Hospital

  • General Acute Care Hospital
  • Palos Heights, IL
  • NPI 1851386692
  Care Compare affiliation
• Saint Joseph Medical Center - Joliet LLC

  • General Acute Care Hospital
  • Joliet, IL
  • NPI 1760220198
  Care Compare affiliation
• Catholic Health Initiatives - Iowa Corp

  • General Acute Care Hospital
  • West Des Moines, IA
  • NPI 1538395975
  Care Compare affiliation
• Catholic Health Initiatives-Iowa Corp

  • Clinical Medical Laboratory
  • Des Moines, IA
  • NPI 1104982743

  Hospital

  Care Compare affiliation
• Catholic Health Initiatives-Iowa Corp

  • General Acute Care Hospital
  • Des Moines, IA
  • NPI 1508964883
  Care Compare affiliation
• Catholic Health Initiatives, Ia-Corp

  • Mammography Clinic/Center
  • Des Moines, IA
  • NPI 1477984367

  Hospital

  Care Compare affiliation
• Monument Health Rapid City Hospital Inc

  • Psychiatric Hospital Unit
  • Rapid City, SD
  • NPI 1437531571
  Care Compare affiliation
• Monument Health Rapid City Hospital, Inc.

  • Urgent Care Clinic/Center
  • Rapid City, SD
  • NPI 1376922591

  Hospital

  Care Compare affiliation
• Monument Health Rapid City Hospital, Inc.

  • Family Medicine Physician
  • Rapid City, SD
  • NPI 1386022960

  Hospital

  Care Compare affiliation
• Monument Health Rapid City Hospital, Inc.

  • General Acute Care Hospital
  • Rapid City, SD
  • NPI 1437122009
  Care Compare affiliation
• Monument Health Rapid City Hospital, Inc.

  • General Acute Care Hospital
  • Rapid City, SD
  • NPI 1689052862
  Care Compare affiliation

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

{
    "created_epoch": "1183334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778457600000",
    "number": "1427255447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17333 LA GRANGE RD STE 200",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604877510",
            "telephone_number": "708-342-1900",
            "fax_number": "708-745-9993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17333 LA GRANGE RD STE 200",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604877510",
            "telephone_number": "708-342-1900",
            "fax_number": "708-745-9993"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1775 W Dempster St",
            "address_2": "Advocate Lutheran General Hospital",
            "address_purpose": "LOCATION",
            "city": "Park Ridge",
            "state": "IL",
            "postal_code": "600681143",
            "country_code": "US",
            "telephone_number": "847-723-2210",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12150 S Harlem Ave",
            "address_purpose": "LOCATION",
            "city": "Palos Heights",
            "state": "IL",
            "postal_code": "604631435",
            "country_code": "US",
            "telephone_number": "700-874-5998",
            "fax_number": "708-745-9993",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1111 6th Ave",
            "address_purpose": "LOCATION",
            "city": "Des Moines",
            "state": "IA",
            "postal_code": "503142613",
            "country_code": "US",
            "telephone_number": "515-643-8735",
            "fax_number": "515-643-8741",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LATTA",
        "first_name": "SHADI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-02",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "IA",
            "license": "MD-56912",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "IL",
            "license": "036121973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Michael Landgrebe, D.C.
• Gladys Larsen, FNP
• Caroline Larson, RBT
• Stephanie Larson, APRN
• Latrice T Oglesby
• Nicole Launius, OTR/L
• Laurent Family Enterprises, Inc.
• Kimberly Laurin
• Richard Lawley, M.D.
• Ellyn M Lawrence

• Hematology & Oncology Physician in Tinley Park, IL
• Providers in Tinley Park, IL by specialty
• Hematology & Oncology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.