Active NPI
Ronald M Shenfeld, MD
- Emergency Medicine Physician
- Elk Grove Village, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 036087445
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036087445 | Medicaid | IL |
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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 036087445 | IL | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Health System Corporation | Current | Accepting new patients | |
| Mercy Health System Corporation | Current | Accepting new patients | |
| Mercy Harvard Hospital Inc | Current | Accepting new patients | |
| City of Hope Medical Group of Illinois PLLC | Current | Accepting new patients | |
| Mercy Harvard Hospital Inc | Current | Accepting new patients | |
| Bonaventure Medical Foundation, LLC | Past | 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
- 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.
-
dba MHS Physician Services
- Multi-Specialty Clinic/Center
- Janesville, WI
- NPI 1598718603
IL
-
- Specialist
- Zion, IL
- NPI 1548258072
-
- Critical Access Hospital
- Harvard, IL
- NPI 1427001445
-
dba Mercy Harvard Care Center
- Skilled Nursing Facility
- Harvard, IL
- NPI 1124195557
-
dba Mercy Walworth Hospital and Medical Center
- Critical Access Hospital
- Lake Geneva, WI
- NPI 1699728550
-
dba Alexian Brothers Medical Foundation
- Family Medicine Physician
- Elk Grove Village, IL
- NPI 1588775647
-
- Emergency Medicine Physician
- Lake in the Hills, IL
- NPI 1275570806
-
- Emergency Medicine Physician
- Kenosha, WI
- NPI 1477546737
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Mercyhealth Hospital and Physician Clinic-Crystal Lake
- General Acute Care Hospital
- Crystal Lake, IL
- NPI 1023754371
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2023; 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.