Individual provider Active NPI

Shazia Shivji, MD

  • Internal Medicine Physician
  • Chicago, IL
National Provider Identifier
1639681018
Registry record updated Jun 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036.168664 Issued in IL
Practice address
3433 W Madison St
Chicago, IL 60624-2895
Phone
(773) 242-2299
NPI assigned
Oct 25, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 01084682A IN
Internal Medicine Physician 207R00000X 036.168664 IL Primary

Addresses

Primary practice location

3433 W Madison St
Chicago, IL 60624-2895

Mailing address

PO Box 746715
Atlanta, GA 30374-6715
Phone (773) 352-1515

Other practice location 1

5145 N California Ave
Chicago, IL 60625-3661
Phone (773) 878-8200

Other practice location 2

6200 Central Ave
Portage, IN 46368-3702
Phone (219) 762-1040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20201012001596 IN Practitioner - Internal Medicine 0648690784 Reassigns benefits to 1 organization
I20240328002148 IL Practitioner - Internal Medicine 0648690784 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rush University Medical GroupGroup PAC ID 5496658874, 1,521 clinicians
Oak Street Health Physicians Group PCGroup PAC ID 7517109879, 227 clinicians

Practice addresses (Care Compare)

1700 W Van Buren St
Suite 500
Chicago, IL 60612-5500
Phone (312) 563-2875

3433 W Madison St
Chicago, IL 60624-2895
Phone (773) 242-2299

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.168664ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Porter Physician Services LLC Internal Medicine CurrentSince Nov 1, 2020 Accepting new patients
Oak Street Health Physicians Group, PC Internal Medicine CurrentSince Mar 18, 2024 Accepting new patients
Rush University Medical Center Internal Medicine CurrentSince Sep 1, 2025 Accepting new patients
Osh-Il Physicians Group LLC Internal Medicine CurrentSince Mar 18, 2024 Accepting new patients
Rush University Medical Group Internal Medicine CurrentSince Sep 1, 2025 Accepting new patients
Porter Physician Services LLC Internal Medicine PastSince Oct 1, 2020 Accepting new patients

Locations

1700 W Van Buren St
#500
Chicago, IL 60612
Phone (312) 563-2875

4848 W Irving Park Rd
Chicago, IL 60641
Phone (773) 724-6200

1700 W Van Buren St
#5
Chicago, IL 60612

75 Remittance Dr
Dept 1611
Chicago, IL 60675

3433 W Madison St
Chicago, IL 60624
Phone (773) 242-2299

2022 Kelle Dr
Chesterton, IN 46304
Phone (219) 364-3616

650 Dickinson Rd
Ste A
Chesterton, IN 46304
Phone (219) 926-2133

650 Dickinson Rd
Ste Z
Chesterton, IN 46304
Phone (219) 464-9507

6200 Central Ave
Portage, IN 46368
Phone (219) 762-1040

Organizations & group practices 6

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 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": "1508889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749513600000",
    "number": "1639681018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746715",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746715",
            "telephone_number": "773-352-1515",
            "fax_number": "312-929-0373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3433 W MADISON ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606242895",
            "telephone_number": "773-242-2299"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5145 N California Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606253661",
            "country_code": "US",
            "telephone_number": "773-878-8200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6200 Central Ave",
            "address_purpose": "LOCATION",
            "city": "Portage",
            "state": "IN",
            "postal_code": "463683702",
            "country_code": "US",
            "telephone_number": "219-762-1040",
            "fax_number": "219-762-1041",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHIVJI",
        "first_name": "SHAZIA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-25",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01084682A",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036.168664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.