Priya Shastri MD, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036115357 Issued in IL

Practice address

17901 Governors Hwy Ste 100
Homewood, IL 60430-1145

Phone

(708) 213-7975

Fax

(708) 213-7975

NPI assigned

May 17, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Dr. Priya Fernandes Former name

Medicare fee-for-service enrollment

Enrolled in IN, IL2 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 2

Specialty

Family Practice

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Harvey Emergency Physicians PLLCGroup PAC ID 9436486560, 50 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ingalls Memorial Hospital Hospital, Harvey, IL, CCN 140191
• Advocate Trinity Hospital Hospital, Chicago, IL, CCN 140048

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: pshastri276019@direct.myadvocateaurora.org
• Direct secure messaging: priya.shastri@dpsm-il.direct.office.nextgen.com
• Direct secure messaging: pshastri275290@uchospital.direct-ci.com
• Direct secure messaging: drpshastri@priority1hc.officeally.direct

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.

• Harvey Emergency Physicians, PLLC

  • Emergency Medicine Physician
  • Calumet City, IL
  • NPI 1184281651
  Medicare reassignment Care Compare group NPD
• Priority One Healthcare LLC

  • Family Medicine Physician
  • Homewood, IL
  • NPI 1265294409
  Medicare reassignment NPD
• Community Care Network Inc

  • Family Medicine Physician
  • St John, IN
  • NPI 1457610487
  Medicare reassignment NPD
• Lakeshorehealthcare

  • Group Psychotherapy Psychologist
  • Chicago, IL
  • NPI 1881643906
  NPD (past)
• Loyola University Medical Center

  • General Practice Physician
  • Maywood, IL
  • NPI 1336159961
  NPD (past)
• Serenity Haven Adult Day Care Inc

  • Licensed Practical Nurse
  • Dolton, IL
  • NPI 1912149626
  NPD (past)
• Sullivan Urgent Aid Centers, LTD

  • Emergency Medicine Physician
  • Tinley Park, IL
  • NPI 1235175803
  NPD (past)
• Okolocha Medical Corp.

  • Family Medicine Physician
  • Gary, IN
  • NPI 1902851330
  NPD (past)

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

• Advocate Health and Hospitals Corporation

  • General Acute Care Hospital
  • Hazel Crest, IL
  • NPI 1467560128
  Care Compare affiliation
• Advocate Health and Hospitals Corporation

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1558479212
  Care Compare affiliation
• Ingalls Memorial Hospital

  • General Acute Care Hospital
  • Harvey, IL
  • NPI 1598756686
  Care Compare affiliation

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753574400000",
    "number": "1437101409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17901 GOVERNORS HWY STE 100",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604301145",
            "telephone_number": "708-917-8773",
            "fax_number": "708-213-7975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17901 GOVERNORS HWY STE 100",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604301145",
            "telephone_number": "708-213-7975",
            "fax_number": "708-213-7975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHASTRI MD",
        "first_name": "PRIYA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-17",
        "last_updated": "2025-07-27",
        "certification_date": "2025-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036115357",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IL LICENSE NUMBER",
            "identifier": "036-115357",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "I36206",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PRIYA",
            "last_name": "FERNANDES",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Biren P Shah, M.D.
• Dilip Shah, MD
• Ravi Shah, M.D.
• Zeba Shakir, MD
• Avis G. Shapiro, L.C.S.W.
• Julia Eve Shauger, DPM
• Shirley Ann Shaw
• Shawn Thomas DDS PLLC
• Jordyn Lee Sherwood, M.S. CF-SLP
• Terri Kevette Shields

• Family Medicine Physician in Homewood, IL
• Providers in Homewood, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2025; 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.