Mohammed Shakaib MD SC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

036110747 Issued in IL

Legal business name

MOHAMMED SHAKAIB MD SC

Practice address

800 Biesterfield Rd
Ste 203
Elk Grove Village, IL 60007-3372

Phone

(847) 879-1049

NPI assigned

May 14, 2012

Last updated

May 11, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mohammed Ismail Shakaib, MDNPI 1609814128

Title

President

Phone

(847) 879-1049

Specialties & licenses 1

Addresses

Other names 1

• SHAKAIB INC Former legal business name

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Home Dialysis Services Elk Grove LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Schaumburg, IL
  • NPI 1194198150

  Member Of

  NPD member

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mohammed Shakaib, M.D.

  • Nephrology Physician
  • Hoffman Estates, IL
  • NPI 1609814128
  Medicare reassignment Care Compare group Authorized official
• Noreen Connelly, APRN, FNP

  • Family Nurse Practitioner
  • Hinsdale, IL
  • NPI 1669232336
  Medicare reassignment Care Compare group
• Khursheed Ahmed, MD

  • Internal Medicine Physician
  • Hoffman Estates, IL
  • NPI 1619917523
  NPD (past)

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

{
    "created_epoch": "1336953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620691200000",
    "number": "1588923320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 BAYBROOK LN",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231607",
            "telephone_number": "847-879-1049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 BIESTERFIELD RD",
            "address_2": "STE 203",
            "city": "ELK GROVE VILLAGE",
            "state": "IL",
            "postal_code": "600073372",
            "telephone_number": "847-879-1049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOHAMMED SHAKAIB MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-14",
        "last_updated": "2021-05-11",
        "certification_date": "2021-05-11",
        "status": "A",
        "authorized_official_last_name": "SHAKAIB",
        "authorized_official_first_name": "MOHAMMED",
        "authorized_official_middle_name": "ISMAIL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-879-1049",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "IL",
            "license": "036110747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SHAKAIB INC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Richard F. Mirro, ATC
• Waleed Mirza, DPM
• William Kyle Misch, PA-C
• Sarah Mitcheltree
• Alison Mary Mogge, MSW, LSW
• Kavita Mohan, MD
• Deisy Molina Cortes
• Wendy Moncada, MSW
• Monikris Inc.
• Bruce J Montella, M.D.

• Nephrology Physician in Elk Grove Village, IL
• Providers in Elk Grove Village, IL by specialty
• Nephrology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.