Samir Naser Shahen, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036141409 Issued in IL

Practice address

1044 N Francisco Ave
Chicago, IL 60622-2743

Phone

(773) 292-8200

Fax

(773) 278-9628

NPI assigned

May 22, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Humboldt Park HealthGroup PAC ID 8921907072, 106 clinicians

Precision Immediate Care and Medical Center LLCGroup PAC ID 5991120198, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• M&U Healthcare Specialists Home health agency, Stone Park, IL, CCN 148417
• Humboldt Park Health Hospital, Chicago, IL, CCN 140206
• Loyola Gottlieb Memorial Hospital Hospital, Melrose Park, IL, CCN 140008

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sshahen@direct-address.org

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.

• Humboldt Park Health

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1740417153
  Medicare reassignment Care Compare group NPD
• Precision Immediate Care and Medical Center, LLC

  • Multi-Specialty Clinic/Center
  • Stone Park, IL
  • NPI 1689299257
  Medicare reassignment Care Compare group NPD
• Associates in Pulmonary & Critical Care LTD

  • Pulmonary Disease Physician
  • Chicago, IL
  • NPI 1558456525
  Medicare reassignment NPD
• KND Development 59 LLC

  • Hospitalist Physician
  • Chicago, IL
  • NPI 1992034599
  Medicare reassignment NPD
• KND Development 59, LLC

  dba Specialty Hospitals Broken Arrow

  • Hospitalist Physician
  • Broken Arrow, OK
  • NPI 1922950823
  NPD
• Gibson Community Hospital Association

  dba Gibson Area Hospital and Health Services

  • Critical Access Hospital
  • Gibson City, IL
  • NPI 1114935681
  NPD (past)

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

• Gottlieb Memorial Hospital

  • General Acute Care Hospital
  • Melrose Park, IL
  • NPI 1831170232
  Care Compare affiliation
• Humboldt Park Health

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1972594877
  Care Compare affiliation
• M&U Healthcare Specialists

  • Home Health Agency
  • Stone Park, IL
  • NPI 1932870938
  Care Compare affiliation

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

{
    "created_epoch": "1400716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1558773663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9048 CRESCENT CT",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604531451",
            "telephone_number": "708-257-6001",
            "fax_number": "773-278-9628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1044 N FRANCISCO AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606222743",
            "telephone_number": "773-292-8200",
            "fax_number": "773-278-9628"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1431 N Western Ave Ste 406",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606221774",
            "country_code": "US",
            "telephone_number": "312-633-5841",
            "fax_number": "312-491-5020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1431 N Western Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606221797",
            "country_code": "US",
            "telephone_number": "312-633-5841",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAHEN",
        "first_name": "SAMIR",
        "middle_name": "NASER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-22",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036141409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bhagwan T Shahani, M.D.
• Ria Basavaraj Shahapeti, MD
• Paul Andreas Shahbaz, LCSW
• Shaheem & Rukhsar Corp (Empire Health care Inc)
• Majed Shaheen, MD
• Shaher Family Health Center LTD
• Ahmad A. Shaher, M.D.
• Seema Shahi
• Areej Shahid
• Mahum Shahid, M.D.

• Family Medicine Physician in Chicago, IL
• Providers in Chicago, 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 Jul 21, 2022; 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.