NPIMap

Individual provider Active NPI

Abhijit A Shinde, MD

  • Internal Medicine Physician
  • Chicago, IL
National Provider Identifier
1700832300
Registry record updated Oct 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
36116671 Issued in IL
Practice address
1645A W School St
Aayu Clinics
Chicago, IL 60657
Phone
(773) 899-0668
Fax
(773) 687-8366
NPI assigned
May 25, 2006
Last updated
Oct 31, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 36116671 IL Primary

Addresses

Primary practice location

1645A W School St
Aayu Clinics
Chicago, IL 60657

Mailing address

1645A W School St
Aayu Clinics
Chicago, IL 60657
Phone (773) 899-0668

Other identifiers 4

IdentifierTypeStateIssuer
036116671-2MedicaidIL
036116671-1MedicaidIL
2577304MedicaidOH
01619414OtherBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081013000571 IL Practitioner - Family PracticePractitioner - Internal Medicine 4880648799 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lakeview Immediate Care LLCGroup PAC ID 9537317292, 2 clinicians

Practice addresses (Care Compare)

1645 W School St
Suite a
Chicago, IL 60657-2171
Phone (773) 227-3669

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36116671ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
JMHC Inc Past Accepting new patients
Hospitalist Medicine Physicians of Muskingum County, LTD Internal Medicine Past Accepting new patients
Head & Neck Cosmetic Surgery Associates LLC Past Accepting new patients
Jenkins Healthcare Company Inc Past Accepting new patients
Jenkins Community Hospital Dba Jenkins Community Hospital Past Accepting new patients
Presence Healthcare Services Past Accepting new patients

Organizations & group practices 7

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.

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": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730332800000",
    "number": "1700832300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1645A W SCHOOL ST",
            "address_2": "AAYU CLINICS",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60657",
            "telephone_number": "773-899-0668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1645A W SCHOOL ST",
            "address_2": "AAYU CLINICS",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60657",
            "telephone_number": "773-899-0668",
            "fax_number": "773-687-8366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHINDE",
        "first_name": "ABHIJIT",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "36116671",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036116671-2",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036116671-1",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2577304",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "01619414",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.