Active NPI
Shreenath Bishu, MD
- Anatomic Pathology & Clinical Pathology Physician
- Lake Forest, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 036122363
- Practice address
- 1000 N Westmoreland Rd Apt 3704
Lake Forest, IL 60045-1658 - Phone
- (847) 535-6218
- Fax
- (847) 535-6237
- NPI assigned
- Sep 30, 2008
- Last updated
- Aug 27, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 125-048944 | IL | |
| Student in an Organized Health Care Education/Training Program | 390200000X | 0116021240 | VA | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 036122363 | IL | Primary |
Addresses
Primary practice location
1000 N Westmoreland Rd Apt 3704
Lake Forest, IL 60045-1658
Mailing address
1000 N Westmoreland Rd Apt 3704
Lake Forest, IL 60045-1658
Phone (847) 535-6218
Other practice location 1
2650 N Lakeview Ave
Apt 3704
Chicago, IL 60614-1840
Phone (402) 880-3855
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
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1206 E 9TH St
Suite 200a
Lockport, IL 60441-2404
Phone (630) 527-3000
1220 Hobson Rd
Suite 204
Naperville, IL 60540-8138
Phone (630) 416-7766
1243 Rickert Dr
Naperville, IL 60540-0954
Phone 6305276450150
30 Stratford Dr
Bloomingdale, IL 60108-2201
Phone (630) 893-2210
801 S Washington St
Naperville, IL 60540-7430
Phone (630) 527-3000
801 S Washington St
Naperville, IL 60540-7499
Phone (630) 355-0450
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.5 of 100
- Quality
- 65
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 90 of 100
- Quality
- 80
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.11 of 100
- Quality
- 92.94
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 67.44
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125-048944 | IL | MD | Anatomic Pathology & Clinical Pathology Physician |
| 0116021240 | VA | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Edward Hospital | Current | Accepting new patients | |
| Suburban Gastroenterology LTD | Current | Accepting new patients | |
| Laboratory & Pathology Diagnostics, LLC | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Associated Pathologists and Laboratory Physicians, LLC | Current | Accepting new patients | |
| FMGC, S.C. | Current | Accepting new patients | |
| Dupage Medical Group LTD | Current | Accepting new patients | |
| Dupage Medical Group LTD | Current | Accepting new patients | |
| James E Jupa MD SC | Past | Accepting new patients |
Locations
1845 W Army Trail Rd
Addison, IL 60101
Phone (630) 458-8855
30 Stratford Dr
Bloomingdale, IL 60108
Phone (630) 893-2210
Dept 4387
Carol Stream, IL 60122
1860 Paysphere Cir
Chicago, IL 60674
Phone (630) 469-2000
39273 Treasury Ctr
Chicago, IL 60694
155 E Brush Hill Rd
Elmhurst, IL 60126
Phone (331) 221-3521
1220 Hobson Rd
Ste 244
Naperville, IL 60540
Phone (630) 357-9308
1243 Rickert Dr
Naperville, IL 60540
Phone (630) 303-5650
801 S Washington St
Naperville, IL 60540
Phone (312) 355-0450
Interoperability endpoints
- https://fhirprd.edward.org/fhirprd/api/FHIR/R4/
Organizations & group practices 9
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.
-
dba Partners in Pathology and Laboratory Medicine, LLC
- Anatomic Pathology Physician
- Naperville, IL
- NPI 1568903565
-
dba DuPage Medical Group
- Multi-Specialty Clinic/Center
- Downers Grove, IL
- NPI 1801833983
-
- Anatomic Pathology & Clinical Pathology Physician
- Naperville, IL
- NPI 1285713826
-
- Legal Medicine
- Naperville, IL
- NPI 1114954633
-
- Gastroenterology Physician
- Addison, IL
- NPI 1578691846
-
- Gastroenterology Physician
- Libertyville, IL
- NPI 1891993606
-
- Durable Medical Equipment & Medical Supplies
- Glen Ellyn, IL
- NPI 1760979447
-
- General Acute Care Hospital
- Naperville, IL
- NPI 1013969013
-
- Infectious Disease Physician
- Lake Forest, IL
- NPI 1891093019
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Endeavor Health Edward Hospital
- General Acute Care Hospital
- Naperville, IL
- NPI 1427069632
-
dba Endeavor Health Elmhurst Hospital
- General Acute Care Hospital
- Elmhurst, IL
- NPI 1548306343
-
dba Endeavor Health Swedish Hospital
- General Acute Care Hospital
- Chicago, IL
- NPI 1831151257
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630022400000",
"number": "1477703189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 N WESTMORELAND RD APT 3704",
"city": "LAKE FOREST",
"state": "IL",
"postal_code": "600451658",
"telephone_number": "847-535-6218",
"fax_number": "847-535-6237"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 N WESTMORELAND RD APT 3704",
"city": "LAKE FOREST",
"state": "IL",
"postal_code": "600451658",
"telephone_number": "847-535-6218",
"fax_number": "847-535-6237"
}
],
"practiceLocations": [
{
"address_1": "2650 N Lakeview Ave",
"address_2": "Apt 3704",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606141840",
"country_code": "US",
"telephone_number": "402-880-3855",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BISHU",
"first_name": "SHREENATH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-09-30",
"last_updated": "2021-08-27",
"certification_date": "2021-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "IL",
"license": "125-048944",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "VA",
"license": "0116021240",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "IL",
"license": "036122363",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Forest, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2021; 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.