Shennin Y Hudoba, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036161774 Issued in IL

Practice address

2020 Ogden Ave Ste 330
Aurora, IL 60504-5897

Phone

(630) 978-4850

NPI assigned

Mar 21, 2018

Last updated

Jan 15, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Shennin Yuen Former name

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Loyola University of Chicago, Stritch School of Medicine, 2018

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Rush University Medical GroupGroup PAC ID 5496658874, 1,521 clinicians

Copley Memorial Hospital IncGroup PAC ID 4587656921, 45 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Copley Memorial Hospital Hospital, Aurora, IL, CCN 140029

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Copley Memorial Hospital, Inc.

  dba Rush Copley Multispecialty Group Practice

  • Endocrinology, Diabetes & Metabolism Physician
  • Aurora, IL
  • NPI 1619466034

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Rush University Medical Group

  dba Rush University Internists

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1093819542

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Rush Medical Group

  dba Rush Orthopaedics

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1467312850
  Medicare reassignment
• Copley Memorial Hospital Inc.

  dba Rush-Copley Family Medicine Center

  • Family Medicine Physician
  • Aurora, IL
  • NPI 1629003165
  NPD
• Rush University Medical Center

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1689165540
  NPD

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

• Copley Memorial Hospital, Inc.

  • General Acute Care Hospital
  • Aurora, IL
  • NPI 1295882561
  Care Compare affiliation

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

{
    "created_epoch": "1521590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705276800000",
    "number": "1477057842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 OGDEN AVE STE 330",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605045897",
            "telephone_number": "630-978-4850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 OGDEN AVE STE 330",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605045897",
            "telephone_number": "630-978-4850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDOBA",
        "first_name": "SHENNIN",
        "middle_name": "Y",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-21",
        "last_updated": "2024-01-15",
        "certification_date": "2024-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036161774",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "29236",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "66056",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHENNIN",
            "last_name": "YUEN",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Brian T Hubbard, DO
• Brittany Hubbard, AUD
• William Andrew Hubble
• William Huber, LCSW
• Thomas Richard Huberty, M.D.
• Lawrence Alan Hudson, FNP-BC
• Marie Angeline Escalona Hudson, PT
• Todd Huenecke, PHD
• Imelda Huerta-Galvez, M.D.
• Jonathan Emanuel Huerta

• Family Medicine Physician in Aurora, IL
• Providers in Aurora, 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 Jan 15, 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.
• 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.