Individual provider Active NPI

Hideki Shikata, M.D.

  • Internal Medicine Physician
  • Arlington Heights, IL
National Provider Identifier
1578590816
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036-093573 Issued in IL
Practice address
2010 S Arlington Heights Rd
Suite 101
Arlington Heights, IL 60005-4134
Phone
(847) 952-8910
Fax
(847) 952-0606
NPI assigned
Jun 26, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036-093573 IL Primary

Addresses

Primary practice location

2010 S Arlington Heights Rd
Suite 101
Arlington Heights, IL 60005-4134

Mailing address

2010 S Arlington Heights Rd
Suite 101
Arlington Heights, IL 60005-4134

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
I20101020001233 IL Practitioner - Internal Medicine 4688681349 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nihon Medical Clinic, S.C.Group PAC ID 2567623002, 3 clinicians

Practice addresses (Care Compare)

2010 S Arlington Heights Rd
Suite 101
Arlington Heights, IL 60005-4100
Phone (847) 952-8910

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-093573ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nihon Medical Clinic, S.C. CurrentSince Apr 1, 2012 Accepting new patients
Major Hospital Past Accepting new patients

Locations

2010 S Arlington Heights Rd
Ste 101
Arlington Heights, IL 60005
Phone (847) 952-8910

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DCFCCD/Endpoint/DCFCCD

Organizations & group practices 2

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 2

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": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1578590816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 S ARLINGTON HEIGHTS RD",
            "address_2": "SUITE 101",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600054134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 S ARLINGTON HEIGHTS RD",
            "address_2": "SUITE 101",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600054134",
            "telephone_number": "847-952-8910",
            "fax_number": "847-952-0606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIKATA",
        "first_name": "HIDEKI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036-093573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington Heights, IL

Sources for this page

Verify at the official NPI Registry.