Arsalan Qazi Shabbir, M.D., PH.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

036.140175 Issued in IL

Practice address

1750 N Randall Rd
Elgin, IL 60123-7900

Phone

(847) 608-6647

NPI assigned

Apr 18, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Confermed of California PC

  • Internal Medicine Physician
  • Irvine, CA
  • NPI 1316584709
  Medicare reassignment NPD
• Mohs Surgery &Dermatology

  • Specialist
  • Elgin, IL
  • NPI 1356721591
  NPD (past)
• Confermed PC

  • Internal Medicine Physician
  • Middletown, CT
  • NPI 1376190850

  Dermatology

  NPD (past)

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

{
    "created_epoch": "1303084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523059200000",
    "number": "1568752004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1733 SURREY LN",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600454124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 N RANDALL RD",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601237900",
            "telephone_number": "847-608-6647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHABBIR",
        "first_name": "ARSALAN",
        "middle_name": "QAZI",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-18",
        "last_updated": "2018-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IL",
            "license": "036.140175",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "WI",
            "license": "65913-20",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A154111",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pradip Sethi, MD
• Charles Edward Settles III, CADC
• Lidia Sexton
• Kristina Seydlitz, LCSW
• Ghazwan Shaaya, M.D.
• Jeffrey P Shafer, MD
• Shah Medical Center S.C.
• Arooj Fatimah Shah, MD
• Devendra U Shah, M.D
• Dhrulata R Shah, M.D.

• Dermatology Physician in Elgin, IL
• Providers in Elgin, IL by specialty
• Dermatology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.