Individual provider Active NPI

Ishvari Shashikant Panarker, MD

  • Family Medicine Physician
  • Schaumburg, IL
National Provider Identifier
1629208129
Registry record updated Jun 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036.130874 Issued in IL
Practice address
800 E Woodfield Rd Ste 103
Schaumburg, IL 60173-4718
Phone
(224) 717-5182
Fax
(224) 517-3192
NPI assigned
Jul 17, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036.130874 IL Primary

Addresses

Primary practice location

800 E Woodfield Rd Ste 103
Schaumburg, IL 60173-4718

Mailing address

800 E Woodfield Rd Ste 103
Schaumburg, IL 60173-4718
Phone (224) 517-5182

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
I20130129000467 IL Practitioner - Family Practice 6204080260 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maple Health Primary Care PLLCGroup PAC ID 7517325194, 2 clinicians

Practice addresses (Care Compare)

800 E Woodfield Rd
Suite 103
Schaumburg, IL 60173-4718
Phone (224) 717-5182

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.130874ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maple Health Primary Care PLLC Family Medicine CurrentSince Jun 1, 2023 Accepting new patients
Gottlieb Community Health Services Corporation Past Accepting new patients
Alexian Brothers Behavioral Health Hospital Past Accepting new patients

Locations

800 E Woodfield Rd
Ste 103
Schaumburg, IL 60173
Phone (224) 717-5182

Interoperability endpoints

  • Direct secure messaging: ishvari.panarker.1@29144.direct.athenahealth.com

Organizations & group practices 3

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.

Hospital & facility affiliations 4

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": "1247788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717891200000",
    "number": "1629208129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 E WOODFIELD RD STE 103",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734718",
            "telephone_number": "224-517-5182",
            "fax_number": "224-517-3192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E WOODFIELD RD STE 103",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734718",
            "telephone_number": "224-717-5182",
            "fax_number": "224-517-3192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANARKER",
        "first_name": "ISHVARI",
        "middle_name": "SHASHIKANT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-17",
        "last_updated": "2024-06-09",
        "certification_date": "2024-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036.130874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schaumburg, IL

Sources for this page

Verify at the official NPI Registry.