NPIMap

Individual provider Active NPI

Shahaab Uddin, M.D.

  • Internal Medicine Physician
  • New Albany, IN
National Provider Identifier
1669784872
Registry record updated Feb 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
125058873 Issued in IL
Practice address
1850 State St
New Albany, IN 47150-4990
Phone
(812) 944-7701
Fax
(812) 981-6505
NPI assigned
Jul 6, 2010
Last updated
Feb 8, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2023

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 125058873 IL Primary
Hospitalist Physician 208M00000X 01073189B IN
Hospitalist Physician 208M00000X 036131145 IL

Addresses

Primary practice location

1850 State St
New Albany, IN 47150-4990

Mailing address

3 Erie CT
Suite L-700
Oak Park, IL 60302-2519
Phone (708) 763-1222

Other practice location 1

3 Erie Ct Ste L-700
Oak Park, IL 60302-2519
Phone (708) 763-1222

Other practice location 2

2650 Ridge Ave
Evanston, IL 60201-1700
Phone (847) 570-2000

Other practice location 3

800 W Central Rd
Arlington Heights, IL 60005-2349
Phone (877) 635-9229

Other practice location 4

1S450 Summit Ave Ste 165
Oakbrook Terrace, IL 60181-3952
Phone (630) 320-6871

Other identifiers 2

IdentifierTypeStateIssuer
201187680MedicaidIN
036131145OtherILSTATE LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address suddin135228@direct.nch.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, IL3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20131109000440 IN Practitioner - Internal MedicinePractitioner - Hospitalist 1850526336 Reassigns benefits to 5 organizations
I20150316001253 IL Practitioner - HospitalistPractitioner - Internal Medicine 1850526336 Reassigns benefits to 8 organizations
I20230405002246 IL Practitioner - Internal Medicine 1850526336 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Elder Care Physicians LLCGroup PAC ID 6204201254, 6 clinicians

Practice addresses (Care Compare)

1 S072 Luther Ave
Lombard, IL 60148-4164
Phone (872) 888-2444

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125058873ILMDInternal Medicine Physician
036131145ILMDHospitalist Physician
01073189BINMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Hospitalist Physicians, LLP Current Accepting new patients
Sound Physicians of Illinois, LLC Internal Medicine CurrentSince Jun 1, 2021 Accepting new patients
Northwest Community Health Services Inc Internal Medicine CurrentSince Nov 21, 2019 Accepting new patients
Hospitalist Consultants Group S.C. Internal Medicine CurrentSince Jan 5, 2019 Accepting new patients
Endeavor Health Medical Group CurrentSince Aug 21, 2018 Accepting new patients
Northwest Hospitalist Physicians LLP Hospitalist CurrentSince Sep 2, 2017 Accepting new patients
24 On Physicians, PC Hospitalist CurrentSince Mar 1, 2019 Accepting new patients
Morris Hospital CurrentSince Feb 28, 2017 Accepting new patients
Northwest Community Health Services Inc CurrentSince Nov 21, 2019 Accepting new patients
Cogent Healthcare of Illinois, LLC Internal Medicine CurrentSince Oct 15, 2022 Accepting new patients
Endeavor Health Medical Group Internal Medicine Current Accepting new patients
Baptist Health Medical Group Inc Current Accepting new patients
Sound Physicians of Indiana, LLC Internal Medicine CurrentSince Sep 3, 2019 Accepting new patients
Elder Care Physicians LLC Internal Medicine CurrentSince Jan 1, 2023 Accepting new patients
Morris Hospital CurrentSince Feb 28, 2017 Accepting new patients
Central PA Pharmacy LLC. Current Accepting new patients
Morris Hospital Current Accepting new patients
Hospitalist Medicine Physicians of Indiana, LLC Internal Medicine CurrentSince Sep 3, 2019 Accepting new patients
Baptist Health Medical Group Inc Internal Medicine CurrentSince Dec 21, 2018 Accepting new patients
24 On Physicians, P.C. Hospitalist CurrentSince Mar 1, 2019 Accepting new patients
Hospitalist Medicine Physicians of Illinois - Rockford, LLC Internal Medicine CurrentSince Jun 1, 2021 Accepting new patients
Osf Multi-Specialty Group Internal Medicine CurrentSince Jun 17, 2019 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Dec 21, 2018 Accepting new patients

Locations (25 of 30)

1051 W Rand Rd
Arlington Hts, IL 60004
Phone (847) 221-4601

800 W Central Rd
Arlington Hts, IL 60005
Phone (847) 618-6150

1450 Busch Pkwy
Buffalo Grove, IL 60089
Phone (847) 459-7860

1044 N Francisco Ave
Chicago, IL 60622
Phone (773) 292-8227

25233 Network Pl
Chicago, IL 60673

9532 Eagle Way
Chicago, IL 60678

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

1 Ingalls Dr
Harvey, IL 60426
Phone (708) 333-2300

660 N Westmoreland Rd
#302
Lake Forest, IL 60045

1042 Maple Ave
Lisle, IL 60532
Phone (630) 373-8868

1S072 Luther Ave
Lombard, IL 60148
Phone (630) 247-8877

3333 W Deyoung St
Marion, IL 62959
Phone (618) 998-7020

580 Sycamore St
Marseilles, IL 61341
Phone (815) 795-2122

150 W High St
Morris, IL 60450
Phone (815) 942-2129

8 Doctors Park Rd
Mount Vernon, IL 62864
Phone (618) 244-5500

1900 Silver Cross Blvd
New Lenox, IL 60451
Phone (815) 300-7106

1100 E Norris Dr
Ottawa, IL 61350
Phone (815) 416-1224

8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050

1401 E State St
Rockford, IL 61104
Phone (815) 489-4267

2901 Wolf Rd
Westchester, IL 60154
Phone (630) 544-0083

601 W 2nd St
Bloomington, IN 47403
Phone (812) 353-5252

1007 Lincolnway
Laporte, IN 46350
Phone (219) 325-5474

1331 State St
Laporte, IN 46350
Phone (219) 326-2415

1373 N State Road 62
Madison, IN 47250
Phone (812) 801-0196

Interoperability endpoints

  • Direct secure messaging: suddin135228@direct.nch.org

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
The Pearl of Downers GroveDowners Grove, IL, CCN 145657 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Apr 10, 2025
Apr 10, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 23

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.

View all 23

Hospital & facility affiliations 20

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1278374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675814400000",
    "number": "1669784872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 ERIE CT",
            "address_2": "SUITE L-700",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603022519",
            "telephone_number": "708-763-1222",
            "fax_number": "708-763-1471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 STATE ST",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471504990",
            "telephone_number": "812-944-7701",
            "fax_number": "812-981-6505"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3 Erie Ct Ste L-700",
            "address_purpose": "LOCATION",
            "city": "Oak Park",
            "state": "IL",
            "postal_code": "603022519",
            "country_code": "US",
            "telephone_number": "708-763-1222",
            "fax_number": "708-763-1471",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2650 Ridge Ave",
            "address_purpose": "LOCATION",
            "city": "Evanston",
            "state": "IL",
            "postal_code": "602011700",
            "country_code": "US",
            "telephone_number": "847-570-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 W Central Rd",
            "address_purpose": "LOCATION",
            "city": "Arlington Heights",
            "state": "IL",
            "postal_code": "600052349",
            "country_code": "US",
            "telephone_number": "877-635-9229",
            "fax_number": "847-618-3259",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1S450 Summit Ave Ste 165",
            "address_purpose": "LOCATION",
            "city": "Oakbrook Terrace",
            "state": "IL",
            "postal_code": "601813952",
            "country_code": "US",
            "telephone_number": "630-320-6871",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UDDIN",
        "first_name": "SHAHAAB",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-06",
        "last_updated": "2023-02-08",
        "certification_date": "2023-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "125058873",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IN",
            "license": "01073189B",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IL",
            "license": "036131145",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201187680",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "036131145",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "suddin135228@direct.nch.org",
            "affiliation": "N",
            "address_1": "800 W Central Rd",
            "city": "Arlington Heights",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600052349",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New Albany, IN

Sources for this page

Verify at the official NPI Registry.