Individual provider Active NPI

Shaina A Rozell, MD

  • Internal Medicine Physician
  • Chicago Ridge, IL
National Provider Identifier
1508187253
Registry record updated Apr 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
54239 Issued in MN
Practice address
10604 Southwest Hwy Ste 200
Chicago Ridge, IL 60415-2717
Phone
(708) 424-9710
NPI assigned
Jun 17, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Oncology Physician 207RX0202X 036-133001 IL
Internal Medicine Physician 207R00000X 54239 MN Primary
Hematology & Oncology Physician 207RH0003X 036-133001 IL

Addresses

Primary practice location

10604 Southwest Hwy Ste 200
Chicago Ridge, IL 60415-2717

Mailing address

62647 Collection Center Dr
Chicago, IL 60693-0626
Phone (507) 284-2511

Other practice location 1

4440 W 95th St
Oak Lawn, IL 60453-2600
Phone (708) 684-8000

Other practice location 2

17850 Kedzie Ave Ste 1500
Hazel Crest, IL 60429-2049
Phone (708) 400-7932

Other practice location 3

3900 W 203rd St
Olympia Fields, IL 60461-1183
Phone (708) 855-7069

Electronic endpoints 4

TypeEndpointUseAffiliation
FHIR URL https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ Health Information Exchange (HIE)
Direct Messaging Address srozell278425@direct.myadvocateaurora.org Direct
Direct Messaging Address shaina.rozell@affiliatedoncologists.ikm.direct-ci.com Direct
Direct Messaging Address shaina.rozell@affiliatedoncologists.ikm.direct-ci.com Direct

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
I20130918000458 IL Practitioner - Internal MedicinePractitioner - Hematology/Oncology 5193997799 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hematology/Oncology
Education
Northwestern University Feinberg Medical School, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Affiliated Oncologists LLCGroup PAC ID 2365606563, 43 clinicians

Practice addresses (Care Compare)

10604 Southwest Hwy
Suite 109
Chicago Ridge, IL 60415-2717
Phone (708) 424-9710

17850 Kedzie Ave
Suite 2600
Hazel Crest, IL 60429-2080
Phone (708) 478-4302

3900 W 203Rd St
Olympia Fields, IL 60461-1183
Phone (708) 679-2380

4440 W 95TH St
Oak Lawn, IL 60453-2600
Phone (708) 684-5475

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
54239MNMDInternal Medicine Physician
036-133001ILMDMedical Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Specialty Physicians of Illinois, LLC CurrentSince Nov 1, 2024 Accepting new patients
Affiliated Oncologists, LLC Hematology & Oncology CurrentSince Jul 1, 2016 Accepting new patients
Endeavor Health Medical Group CurrentSince Sep 18, 2013 Accepting new patients
Endeavor Health Medical Group Internal Medicine CurrentSince Sep 18, 2013 Accepting new patients
Specialty Physicians of Illinois, LLC Internal Medicine CurrentSince Nov 1, 2024 Accepting new patients
Express Urgent Care LLC PastSince Sep 1, 2018 Accepting new patients
Gynecological Cancer Institute of Chicago, LLC PastSince Apr 1, 2015 Accepting new patients

Locations

35318 Eagle Way
Chicago, IL 60678

62647 Collection Ctr Dr
Chicago, IL 60693
Phone (708) 478-4302

9532 Eagle Way
Chicago, IL 60678

10604 Southwest Hwy
Ste 109
Chicago Ridge, IL 60415
Phone (708) 422-3242

10604 Southwest Hwy
Ste 200
Chicago Ridge, IL 60415
Phone (708) 634-4644

49 S Waukegan Rd
Ste 200
Deerfield, IL 60015
Phone (847) 945-4575

3825 Highland Ave
Ste 307
Downers Grove, IL 60515
Phone (708) 422-3242

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

17850 Kedzie Ave
Ste 1500
Hazel Crest, IL 60429
Phone (708) 799-7780

333 Madison St
Ste Cc
Joliet, IL 60435
Phone (815) 773-7439

19060 Everett Blvd
Unit 112
Mokena, IL 60448
Phone (708) 346-4040

1890 Silver Cross Blvd
Ste 535
New Lenox, IL 60451
Phone (708) 382-0544

4440 W 95th St
Ste 31W
Oak Lawn, IL 60453
Phone (708) 684-5475

4440 W 95th St
Oak Lawn, IL 60453
Phone (708) 346-5520

6700 W 95th St
Ste 330
Oak Lawn, IL 60453
Phone (708) 422-3242

4301 W 95th St
Oak Lawn, IL 60453
Phone (708) 425-5500

3700 W 203rd St
Ste 301
Olympia Flds, IL 60461
Phone (708) 679-2850

3900 W 203rd St
Olympia Flds, IL 60461
Phone (708) 478-7437

20201 Crawford Ave
Olympia Flds, IL 60461
Phone (708) 503-3857

82 Orland Square Dr
Orland Park, IL 60462
Phone (224) 273-3590

Interoperability endpoints

  • Direct secure messaging: shaina.rozell@affiliatedoncologists.ikm.direct-ci.com

Organizations & group practices 7

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 8

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": "1276732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745884800000",
    "number": "1508187253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62647 COLLECTION CENTER DR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606930626",
            "telephone_number": "507-284-2511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10604 SOUTHWEST HWY STE 200",
            "city": "CHICAGO RIDGE",
            "state": "IL",
            "postal_code": "604152717",
            "telephone_number": "708-424-9710"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4440 W 95th St",
            "address_purpose": "LOCATION",
            "city": "Oak Lawn",
            "state": "IL",
            "postal_code": "604532600",
            "country_code": "US",
            "telephone_number": "708-684-8000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17850 Kedzie Ave Ste 1500",
            "address_purpose": "LOCATION",
            "city": "Hazel Crest",
            "state": "IL",
            "postal_code": "604292049",
            "country_code": "US",
            "telephone_number": "708-400-7932",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3900 W 203rd St",
            "address_purpose": "LOCATION",
            "city": "Olympia Fields",
            "state": "IL",
            "postal_code": "604611183",
            "country_code": "US",
            "telephone_number": "708-855-7069",
            "fax_number": "708-503-3224",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROZELL",
        "first_name": "SHAINA",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-17",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "IL",
            "license": "036-133001",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MN",
            "license": "54239",
            "primary": true
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "IL",
            "license": "036-133001",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "4440 W 95th St",
            "city": "Oak Lawn",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604532600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "srozell278425@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4440 W 95th St",
            "city": "Oak Lawn",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604532600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shaina.rozell@affiliatedoncologists.ikm.direct-ci.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "10604 Southwest Hwy Ste 200",
            "city": "Chicago Ridge",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604152717",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shaina.rozell@affiliatedoncologists.ikm.direct-ci.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "17850 Kedzie Ave Ste 1500",
            "city": "Hazel Crest",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604292049",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chicago Ridge, IL

Sources for this page

Verify at the official NPI Registry.