Kabita Sheila Shifrin, D.O.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

036126041 Issued in IL

Practice address

2335 S Michigan Ave
Chicago, IL 60616-2104

Phone

(312) 590-3572

Fax

(888) 716-0671

NPI assigned

Jun 18, 2008

Last updated

Dec 23, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 9

Other names 1

• Dr. Kabita Sheila Das Other name

Electronic endpoints 2

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

Specialty

Ophthalmology

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Multack Eye Care, S.CGroup PAC ID 6507015138, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Multack Eye Care, S.C

  • Ophthalmology Physician
  • Olympia Fields, IL
  • NPI 1851655989
  Medicare reassignment Care Compare group NPD
• Shifrin Group LLC

  • Ophthalmology Physician
  • Olympia Fields, IL
  • NPI 1184904526
  Medicare reassignment NPD Authorized official
• Transformations Clinical Entity Florida Illinois and Ohio SC

  dba Transformations Plastic Surgery

  • Plastic Surgery Physician
  • Rockford, IL
  • NPI 1093152118
  Medicare reassignment NPD
• Henry Ford Health Macomb-Oakland Hospital

  dba Henry Ford Warren Hospital

  • Social Worker
  • Warren, MI
  • NPI 1548609761
  NPD (past)
• Henry Ford Semi Medical Group

  • Endocrinology, Diabetes & Metabolism Physician
  • Novi, MI
  • NPI 1114133485
  NPD (past)

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

{
    "created_epoch": "1213747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640217600000",
    "number": "1700047222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2335 S MICHIGAN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606162104",
            "telephone_number": "312-590-3572",
            "fax_number": "888-716-0671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2335 S MICHIGAN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606162104",
            "telephone_number": "312-590-3572",
            "fax_number": "888-716-0671"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20303 Crawford Ave Lowr Level2",
            "address_purpose": "LOCATION",
            "city": "Olympia Fields",
            "state": "IL",
            "postal_code": "604611073",
            "country_code": "US",
            "telephone_number": "312-590-3572",
            "fax_number": "888-716-0671",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHIFRIN",
        "first_name": "KABITA",
        "middle_name": "SHEILA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-18",
        "last_updated": "2021-12-23",
        "certification_date": "2021-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036126041",
            "primary": true
        },
        {
            "code": "207WX0200X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": "IL",
            "license": "036.126041",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ESC GRP ILL MEDICARE PTAN COOK COUNTY",
            "identifier": "205785",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ESC MEDICARE RAILROAD INDIVIDUAL PTAN",
            "identifier": "P00928033",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036126041",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ESC THE EYE SPECIALISTS CENTER, LLC GROUP NPI",
            "identifier": "1083684922",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ESC MEDICARE INDIVIDUAL PTAN",
            "identifier": "205785004",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ESC BLUE CROSS BLUE SHEILD OF ILLINOIS",
            "identifier": "01620861",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ESC MEDICARE RAILROAD GROUP PTAN",
            "identifier": "CK7818",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ESC OPTICAL NPI",
            "identifier": "1699802421",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SHIFRIN GRP MEDICARE PTAN",
            "identifier": "IL6821",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kshifrin284070@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2335 S Michigan Ave",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606162104",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "2335 S Michigan Ave",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606162104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KABITA",
            "last_name": "DAS",
            "middle_name": "SHEILA",
            "prefix": "DR.",
            "credential": "MAIDEN NAME",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Shifa Nephrology Associates LLC
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• Barnabas Shiferaw
• Kendra Shiffman, M.S.
• Jennifer Shiflet, DPT
• Rachael Shifrin, MA, MT-BC
• Shift Medical, LTD. (Shift)
• Shifting Gears Psychotherapy, LTD.
• Shifting Gears Transportation, LLC
• Robyn Mariko Shigemitsu-Buckler, LCSW

• Ophthalmology Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Ophthalmology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.