Active NPI
Shira Trager, M.D
- Family Medicine Physician
- Chicago, IL
National Provider Identifier
1447010376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 125.085028
- Practice address
- 1431 N Western Ave Ste 406
Chicago, IL 60622-1774 - Phone
- (312) 633-5841
- Fax
- (312) 491-5020
- NPI assigned
- Mar 19, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 125.085028 | IL | Primary |
Addresses
Primary practice location
1431 N Western Ave Ste 406
Chicago, IL 60622-1774
Mailing address
1431 N Western Ave Ste 406
Chicago, IL 60622-1774
Phone (312) 633-5841
Other practice location 1
1127 N Oakley Blvd Fl 2
Chicago, IL 60622-3507
Phone (312) 770-2040
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240618000195 | IL | Order and Referring Only - Family Practice | 7315480407 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125.085028 | IL | MD | Family Medicine Physician |
Interoperability endpoints
- shira.trager.1@16494.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727222400000",
"number": "1447010376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1431 N WESTERN AVE STE 406",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606221774",
"telephone_number": "312-633-5841",
"fax_number": "312-491-5020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1431 N WESTERN AVE STE 406",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606221774",
"telephone_number": "312-633-5841",
"fax_number": "312-491-5020"
}
],
"practiceLocations": [
{
"address_1": "1127 N Oakley Blvd Fl 2",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606223507",
"country_code": "US",
"telephone_number": "312-770-2040",
"fax_number": "312-770-3270",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TRAGER",
"first_name": "SHIRA",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-03-19",
"last_updated": "2024-09-25",
"certification_date": "2024-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "125.085028",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.