Individual provider Active NPI

Shweta Chawla, M.D.

  • Pediatrics Physician
  • Chicago Heights, IL
National Provider Identifier
1629482872
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
036143753 Issued in IL
Practice address
500 Dixie Hwy
Chicago Heights, IL 60411-1741
Phone
(877) 692-8686
NPI assigned
Jun 16, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 036143753 IL Primary

Addresses

Primary practice location

500 Dixie Hwy
Chicago Heights, IL 60411-1741

Mailing address

500 Dixie Hwy
Chicago Heights, IL 60411-1741
Phone (877) 692-8686

Other practice location 1

30 Medical Center Blvd
Pob 1, Suite 205, Crozer Pediatrics
Chester, PA 19013-3955
Phone (610) 619-7410

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
I20230522003175 IL Practitioner - Pediatric Medicine 8426414160 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036143753ILMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Access Community Health Network CurrentSince Feb 8, 2023 Accepting new patients
Access Community Health Network CurrentSince Feb 8, 2023 Accepting new patients
Access Community Health Network Past Accepting new patients
Aunt Martha'S Health and Wellness, Inc. Past Accepting new patients

Locations

2533 W Cermak Rd
Chicago, IL 60608
Phone (773) 523-0900

600 W Fulton St
Ste 200
Chicago, IL 60661
Phone (312) 526-2000

1817 S Loomis St
Chicago, IL 60608
Phone (312) 666-6511

Interoperability endpoints

  • Direct secure messaging: schawla22744@direct.achn.net

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1402876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1629482872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 DIXIE HWY",
            "city": "CHICAGO HEIGHTS",
            "state": "IL",
            "postal_code": "604111741",
            "telephone_number": "877-692-8686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 DIXIE HWY",
            "city": "CHICAGO HEIGHTS",
            "state": "IL",
            "postal_code": "604111741",
            "telephone_number": "877-692-8686"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30 Medical Center Blvd",
            "address_2": "POB 1, SUITE 205, CROZER PEDIATRICS",
            "address_purpose": "LOCATION",
            "city": "Chester",
            "state": "PA",
            "postal_code": "190133955",
            "country_code": "US",
            "telephone_number": "610-619-7410",
            "fax_number": "610-876-8483",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAWLA",
        "first_name": "SHWETA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-16",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036143753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago Heights, IL

Sources for this page

Verify at the official NPI Registry.