Individual provider Active NPI

Ronald M Shenfeld, MD

  • Emergency Medicine Physician
  • Elk Grove Village, IL
National Provider Identifier
1568497311
Registry record updated Dec 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
036087445 Issued in IL
Practice address
800 Biesterfield Rd
Elk Grove Village, IL 60007-3311
Phone
(847) 437-5500
NPI assigned
Jul 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 036087445 IL Primary

Addresses

Primary practice location

800 Biesterfield Rd
Elk Grove Village, IL 60007-3311

Mailing address

PO Box 87904
Carol Stream, IL 60188-7904
Phone (630) 734-0200

Other practice location 1

Mercy Health and Physicians clinic Crystal Lake
875 South Route 31
Crystal Lake, IL 60014
Phone (779) 220-5500

Other identifiers 1

IdentifierTypeStateIssuer
036087445MedicaidIL

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
I20031216000850 IL Practitioner - Emergency Medicine 9537066774 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Southern Illinois University School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Health System CorporationGroup PAC ID 7416860440, 749 clinicians

Practice addresses (Care Compare)

348 S Division St
Harvard, IL 60033-3247
Phone (815) 943-1122

875 S Route 31
Crystal Lake, IL 60014-8190
Phone (779) 220-5500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036087445ILMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health System Corporation CurrentSince Dec 8, 2023 Accepting new patients
Mercy Health System Corporation CurrentSince Dec 8, 2023 Accepting new patients
Mercy Harvard Hospital Inc CurrentSince Dec 1, 2025 Accepting new patients
City of Hope Medical Group of Illinois PLLC CurrentSince Jan 14, 2013 Accepting new patients
Mercy Harvard Hospital Inc CurrentSince Dec 1, 2025 Accepting new patients
Bonaventure Medical Foundation, LLC PastSince Apr 1, 2009 Accepting new patients
Mea-SJ Care Centers, LLC Emergency Medicine Past Accepting new patients
Mea-Aea Kenosha SC Emergency Medicine Past Accepting new patients

Locations

2361 Paysphere Cir
Chicago, IL 60674
Phone (847) 746-4358

29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652

875 S State Route 31
Crystal Lake, IL 60014
Phone (779) 220-5500

77 N Airlite St
Elgin, IL 60123
Phone (847) 622-3407

934 Center St
Elgin, IL 60120
Phone (847) 429-2932

348 S Division St
Harvard, IL 60033
Phone (815) 943-1122

901 Grant St
Harvard, IL 60033
Phone (815) 943-5431

1555 N Barrington Rd
Hoffman Estates, IL 60169
Phone (847) 490-2923

801 S Milwaukee Ave
Libertyville, IL 60048
Phone (847) 362-2900

2520 Elisha Ave
Zion, IL 60099
Phone (800) 322-9183

W3985 Highway NN
Elkhorn, WI 53121
Phone (262) 741-2000

Interoperability endpoints

  • Direct secure messaging: rshenfeld109633@direct.mhemail.org

Organizations & group practices 8

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 1

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": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702512000000",
    "number": "1568497311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 87904",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "601887904",
            "telephone_number": "630-734-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 BIESTERFIELD RD",
            "city": "ELK GROVE VILLAGE",
            "state": "IL",
            "postal_code": "600073311",
            "telephone_number": "847-437-5500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Mercy Health and Physicians clinic Crystal Lake",
            "address_2": "875 South Route 31",
            "address_purpose": "LOCATION",
            "city": "Crystal Lake",
            "state": "IL",
            "postal_code": "60014",
            "country_code": "US",
            "telephone_number": "779-220-5500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHENFELD",
        "first_name": "RONALD",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2023-12-14",
        "certification_date": "2023-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036087445",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036087445",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk Grove Village, IL

Sources for this page

Verify at the official NPI Registry.