NPIMap

Individual provider Active NPI

Mohammed Shakaib, M.D.

  • Nephrology Physician
  • Hoffman Estates, IL
National Provider Identifier
1609814128
Registry record updated Apr 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
036110747 Issued in IL
Practice address
2359 Hassell Rd
Hoffman Estates, IL 60169-2102
Phone
(847) 843-0726
Fax
(847) 843-2430
NPI assigned
Jun 4, 2006
Last updated
Apr 23, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 46625 WI
Nephrology Physician 207RN0300X 036110747 IL Primary
Hospitalist Physician 208M00000X 036110747 IL

Addresses

Primary practice location

2359 Hassell Rd
Hoffman Estates, IL 60169-2102

Mailing address

1860 Payshere Circle
Chicago, IL 60674-0001
Phone (630) 469-9200

Other practice location 1

10400 Haligus Rd
Huntley, IL 60142-9553
Phone (815) 759-4323

Other identifiers 1

IdentifierTypeStateIssuer
036-110747MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, IL2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050128000746 MO Practitioner - Internal Medicine 2466402235 Reassigns benefits to 1 organization
I20051227000126 IL Practitioner - NephrologyPractitioner - HospitalistPractitioner - Internal Medicine 2466402235 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Hospitalist, Internal Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stat Cardiologist IncGroup PAC ID 1658648050, 27 clinicians
Mohammed Shakaib MD SCGroup PAC ID 3274797659, 2 clinicians

Practice addresses (Care Compare)

1345 Wiley Rd
Suite 111
Schaumburg, IL 60173-4356
Phone (847) 490-0060

33 W Higgins Rd
Suite 5100
South Barrington, IL 60010-9358
Phone (847) 879-1049

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
20.43 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
68.11

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
46625WIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Stat Cardiologist Inc CurrentSince Oct 1, 2024 Accepting new patients
Southeast Missouri Hospital Physicians, LLC Hospitalist CurrentSince Dec 21, 2018 Accepting new patients
Southeast Hospital Current Accepting new patients
Midwest Neoped Associates LTD PastSince Jun 28, 2009 Accepting new patients
Cogent Healthcare of Wisconsin, SC Internal Medicine Past Accepting new patients
Khursheed Ahmed, MD, S.C. Internal Medicine PastSince Dec 5, 2023 Accepting new patients

Locations

1345 Wiley Rd
Ste 111
Schaumburg, IL 60173
Phone (630) 451-9694

1701 Lacey St
Cpe Girardeau, MO 63701
Phone (573) 334-4822

Interoperability endpoints

  • Direct secure messaging: mshakaib291214@direct.myadvocateaurora.org

Organizations & group practices 7

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 11

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": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619136000000",
    "number": "1609814128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 PAYSHERE CIRCLE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606740001",
            "telephone_number": "630-469-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2359 HASSELL RD",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601692102",
            "telephone_number": "847-843-0726",
            "fax_number": "847-843-2430"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10400 Haligus Rd",
            "address_purpose": "LOCATION",
            "city": "Huntley",
            "state": "IL",
            "postal_code": "601429553",
            "country_code": "US",
            "telephone_number": "815-759-4323",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAKAIB",
        "first_name": "MOHAMMED",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-04",
        "last_updated": "2021-04-23",
        "certification_date": "2021-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "46625",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "IL",
            "license": "036110747",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IL",
            "license": "036110747",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036-110747",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoffman Estates, IL

Sources for this page

Verify at the official NPI Registry.