Individual provider Active NPI

Shreenath Bishu, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Lake Forest, IL
National Provider Identifier
1477703189
Registry record updated Aug 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
036122363 Issued in IL
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, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110805000148 IL Practitioner - Pathology 9234308396 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associated Pathologists and Laboratory Physicians LLCGroup PAC ID 0446582175, 13 clinicians
Dupage Medical Group LTDGroup PAC ID 5496667941, 1,326 clinicians
Suburban Gastroenterology LTDGroup PAC ID 8628047735, 22 clinicians
Laboratory and Pathology Diagnostics LLCGroup PAC ID 4486630886, 13 clinicians

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 100Reported as group
Quality
65
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
90 of 100Reported as group
Quality
80
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
88.11 of 100Reported as group
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

LicenseStateTypeSpecialty
125-048944ILMDAnatomic Pathology & Clinical Pathology Physician
0116021240VAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Edward Hospital Current Accepting new patients
Suburban Gastroenterology LTD CurrentSince Sep 26, 2022 Accepting new patients
Laboratory & Pathology Diagnostics, LLC Anatomic Pathology & Clinical Pathology CurrentSince Mar 1, 2022 Accepting new patients
Associated Pathologists and Laboratory Physicians, LLC CurrentSince Mar 1, 2022 Accepting new patients
FMGC, S.C. CurrentSince Jul 1, 2018 Accepting new patients
Dupage Medical Group LTD CurrentSince Jun 1, 2022 Accepting new patients
Dupage Medical Group LTD CurrentSince Jun 1, 2022 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

  • FHIR API: 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.

Hospital & facility affiliations 3

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

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

Verify at the official NPI Registry.