Individual provider Active NPI

Adarsh Shukla, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Chicago, IL
National Provider Identifier
1477904035
Registry record updated Apr 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
01092486A Issued in IN
Practice address
4354 W 63Rd St
Chicago, IL 60629-5039
Phone
(773) 482-5800
NPI assigned
Jun 24, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 036156459 IL
Physical Medicine & Rehabilitation Physician 208100000X 01092486A IN Primary

Addresses

Primary practice location

4354 W 63Rd St
Chicago, IL 60629-5039

Mailing address

9680 Golf Rd
Des Plaines, IL 60016-1522
Phone (773) 482-5800

Other practice location 1

9301 Connecticut Dr
Crown Point, IN 46307-7486
Phone (773) 482-5800

Other practice location 2

9700 E Golf Rd
Des Plaines, IL 60016-1566
Phone (773) 482-5800

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address Ashukla322848@direct.myadvocateaurora.org Direct
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, IL, IN3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20200325000148 PA Practitioner - Physical Medicine and Rehabilitation 4284062290 Reassigns benefits to 1 organization
I20210812000283 IL Practitioner - Physical Medicine and Rehabilitation 4284062290 Reassigns benefits to 1 organization
I20240822002353 IN Practitioner - Pain Management 4284062290 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

4354 W 63Rd St
Chicago, IL 60629-5039
Phone (773) 482-5800

9615 Keilman St
Saint John, IN 46373-9406
Phone (773) 482-5800

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036156459ILMDPhysical Medicine & Rehabilitation Physician
01092486AINMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Anesthesia and Pain Specialists SC CurrentSince Aug 2, 2021 Accepting new patients
Premier Medical Rehab LLC Physical Medicine & Rehabilitation CurrentSince Mar 12, 2020 Accepting new patients
Midwest Anesthesia and Pain Specialists, SC CurrentSince Aug 2, 2021 Accepting new patients

Locations

1644 E 53rd St
Chicago, IL 60615
Phone (773) 241-6450

2923 N California Ave
Ste 210
Chicago, IL 60618
Phone (773) 348-6876

4354 W 63rd St
Chicago, IL 60629
Phone (773) 482-5800

9680 Golf Rd
Des Plaines, IL 60016
Phone (773) 362-2917

9700 E Golf Rd
Des Plaines, IL 60016
Phone (630) 410-7700

9680 Golf Rd
Fl 2
Des Plaines, IL 60016
Phone (708) 987-3795

10095 W Lincoln Hwy
Frankfort, IL 60423
Phone (630) 400-8073

17680 Kedzie Ave
Ste 103
Hazel Crest, IL 60429
Phone (708) 799-1717

2007 75th St
Woodridge, IL 60517
Phone (630) 991-2454

9301 Connecticut Dr
Crown Point, IN 46307
Phone (219) 756-2100

9615 Keilman St
Saint John, IN 46373
Phone (219) 365-0220

1425 Eagle Ridge Dr
Schererville, IN 46375
Phone (219) 322-6942

253 N Hershey Rd
Harrisburg, PA 17112
Phone (717) 559-3111

Interoperability endpoints

  • Direct secure messaging: ashukla322848@direct.myadvocateaurora.org

Organizations & group practices 3

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 2

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": "1466726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777420800000",
    "number": "1477904035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9680 GOLF RD",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600161522",
            "telephone_number": "773-482-5800",
            "fax_number": "773-767-9604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4354 W 63RD ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606295039",
            "telephone_number": "773-482-5800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9301 Connecticut Dr",
            "address_purpose": "LOCATION",
            "city": "Crown Point",
            "state": "IN",
            "postal_code": "463077486",
            "country_code": "US",
            "telephone_number": "773-482-5800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9700 E Golf Rd",
            "address_purpose": "LOCATION",
            "city": "Des Plaines",
            "state": "IL",
            "postal_code": "600161566",
            "country_code": "US",
            "telephone_number": "773-482-5800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHUKLA",
        "first_name": "ADARSH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-24",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IL",
            "license": "036156459",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IN",
            "license": "01092486A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Ashukla322848@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "9680 Golf Rd",
            "city": "Des Plaines",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600161522",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "9680 Golf Rd",
            "city": "Des Plaines",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600161522",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.