Active NPI
Nazila Shafagati, MD
- Hematology & Oncology Physician
- San Francisco, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- A212210
- Practice address
- 1001 Potrero Ave
BLDG. 5, 4C
San Francisco, CA 94110-3518 - Phone
- (628) 206-2407
- NPI assigned
- Jun 3, 2019
- Last updated
- Oct 16, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A212210 | CA | |
| Internal Medicine Physician | 207R00000X | 280693 | MA | |
| Hematology & Oncology Physician | 207RH0003X | 036174178 | IL | |
| Hematology & Oncology Physician | 207RH0003X | A212210 | CA | Primary |
Addresses
Primary practice location
1001 Potrero Ave
BLDG. 5, 4C
San Francisco, CA 94110-3518
Mailing address
1001 Potrero Ave
BLDG. 5, 4C
San Francisco, CA 94110-3518
Phone (628) 206-2407
Other practice location 1
1 Ingalls Dr
Harvey, IL 60426-3558
Phone (888) 824-0200
Other practice location 2
330 Brookline Ave
Boston, MA 02215-5400
Phone (617) 667-7000
Other practice location 3
5841 S Maryland Ave
Chicago, IL 60637-1443
Phone (888) 824-0200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 280693 | Other | MA | STATE LICENSE |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hematology/Oncology
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1 Ingalls Dr
Harvey, IL 60426-3558
Phone (708) 333-2300
5841 S Maryland Ave
Chicago, IL 60637-1443
Phone (773) 702-1000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 280693 | MA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The University of Chicago Medical Center | Current | Accepting new patients | |
| The University of Chicago Medical Center | Current | Accepting new patients | |
| Ucm Medical Group Sub, LLC | Internal Medicine | Current | Accepting new patients |
| University of Chicago | Current | Accepting new patients | |
| University of Chicago Medical Center | Past | Accepting new patients |
Locations
150 Harvester Dr
Ste 300
Burr Ridge, IL 60527
Phone (773) 702-1061
1600 167th St
Ste 500
Calumet City, IL 60409
Phone (708) 868-1170
27702 Network Pl
Chicago, IL 60673
1 Ingalls Dr
Harvey, IL 60426
Phone (708) 333-2300
350 N Wall St
Kankakee, IL 60901
Phone (815) 935-7500
120 N Oak St
Oak Brook Mall, IL 60521
Phone (630) 856-6700
Interoperability endpoints
- nshafagati341171@uchospital.direct-ci.com
Organizations & group practices 5
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.
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1033218128
-
- Multi-Specialty Clinic/Center
- Chicago, IL
- NPI 1821048786
-
dba UCMC Pharmacy Services
- Community/Retail Pharmacy
- Calumet City, IL
- NPI 1255895678
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1528235462
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Harvey, IL
- NPI 1598756686
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1508956509
-
- Home Health Agency
- Harvey, IL
- NPI 1417998865
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1792108800000",
"number": "1700444882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 POTRERO AVE",
"address_2": "BLDG. 5, 4C",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941103518",
"telephone_number": "628-206-2407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 POTRERO AVE",
"address_2": "BLDG. 5, 4C",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941103518",
"telephone_number": "628-206-2407"
}
],
"practiceLocations": [
{
"address_1": "1 Ingalls Dr",
"address_purpose": "LOCATION",
"city": "Harvey",
"state": "IL",
"postal_code": "604263558",
"country_code": "US",
"telephone_number": "888-824-0200",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "330 Brookline Ave",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "022155400",
"country_code": "US",
"telephone_number": "617-667-7000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5841 S Maryland Ave",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606371443",
"country_code": "US",
"telephone_number": "888-824-0200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHAFAGATI",
"first_name": "NAZILA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-03",
"last_updated": "2026-10-16",
"certification_date": "2026-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A212210",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "280693",
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "IL",
"license": "036174178",
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "CA",
"license": "A212210",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "280693",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2026; 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.