NPIMap

Individual provider Active NPI

Syed Zia-Ur-Rehman Shah

  • Internal Medicine Physician
  • Chicago, IL
National Provider Identifier
1437534997
Registry record updated Jan 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
125.066530 Issued in IL
Practice address
2525 S Michigan Ave
Graduate Medical Education,Mercy Hospital and Medical,
Chicago, IL 60616-2315
Phone
(312) 567-2167
Fax
(312) 567-2628
NPI assigned
Jul 27, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 125.066530 IL Primary

Addresses

Primary practice location

2525 S Michigan Ave
Graduate Medical Education,Mercy Hospital and Medical,
Chicago, IL 60616-2315

Mailing address

2525 S Michigan Ave
Graduate Medical Education,Mercy Hospital and Medical,
Chicago, IL 60616-2315
Phone (312) 567-2167

Other identifiers 1

IdentifierTypeStateIssuer
GB200150OtherCANADIAN PASSPORT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181017000595 SC Practitioner - Internal MedicinePractitioner - Hospitalist 7315299500 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Apogee Medical Group South CarolinaGroup PAC ID 8921193020, 69 clinicians
Musc Community PhysiciansGroup PAC ID 6507260668, 1,353 clinicians

Practice addresses (Care Compare)

2435 Forest Dr
Columbia, SC 29204-2026
Phone (803) 256-5300

3000 Saint Matthews Rd
Orangeburg, SC 29118-1442
Phone (803) 395-3400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.41 of 100Reported as group
Quality
64.93
Promoting interoperability
99
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
86.99 of 100Reported as group
Quality
81.65
Improvement activities
40
Cost
74.65

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125.066530ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cogent Healthcare of Georgia PC Internal Medicine CurrentSince Feb 15, 2019 Accepting new patients
Musc Community Physicians Internal Medicine CurrentSince Dec 1, 2023 Accepting new patients
Musc Community Physicians Internal Medicine Current Accepting new patients
Sound Physicians of South Carolina, LLC Internal Medicine CurrentSince Jun 23, 2019 Accepting new patients
Apogee Medical Group South Carolina Internal Medicine CurrentSince Jul 21, 2018 Accepting new patients
Musc Community Physicians CurrentSince Dec 1, 2023 Accepting new patients
Medical University Hospital Authority Past Accepting new patients
Medical University Hospital Authority Past Accepting new patients

Locations

302 University Pkwy
Aiken, SC 29801
Phone (803) 279-3940

506 North St
Bamberg, SC 29003
Phone (803) 245-6290

2435 Forest Dr
Columbia, SC 29204
Phone (770) 874-6859

3000 Saint Matthews Rd
Orangeburg, SC 29118
Phone (803) 395-2200

Interoperability endpoints

  • Direct secure messaging: sshah380524@direct.musc.edu

Organizations & group practices 8

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.

Hospital & facility affiliations 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1437955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548288000000",
    "number": "1437534997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 S MICHIGAN AVE",
            "address_2": "GRADUATE MEDICAL EDUCATION,MERCY HOSPITAL AND MEDICAL,",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606162315",
            "telephone_number": "312-567-2167",
            "fax_number": "312-567-2628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 S MICHIGAN AVE",
            "address_2": "GRADUATE MEDICAL EDUCATION,MERCY HOSPITAL AND MEDICAL,",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606162315",
            "telephone_number": "312-567-2167",
            "fax_number": "312-567-2628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "SYED",
        "middle_name": "ZIA-UR-REHMAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-27",
        "last_updated": "2019-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "125.066530",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CANADIAN PASSPORT",
            "identifier": "GB200150",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.