Individual provider Active NPI

Shannon Maclaughlan, MD

  • Gynecologic Oncology Physician
  • Chicago, IL
National Provider Identifier
1720001894
Registry record updated Mar 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecologic Oncology PhysicianTaxonomy code 207VX0201X
License
036148061 Issued in IL
Practice address
1801 W Taylor St Ste 1E
Chicago, IL 60612-4795
Phone
(312) 413-9874
Fax
(312) 355-1515
NPI assigned
Jul 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD12144 RI
Gynecologic Oncology Physician 207VX0201X A117311 CA
Gynecologic Oncology Physician 207VX0201X 036148061 IL Primary

Addresses

Primary practice location

1801 W Taylor St Ste 1E
Chicago, IL 60612-4795

Mailing address

820 S Wood St # Mc808
Chicago, IL 60612-4325
Phone (312) 996-7006

Other practice location 1

300 Pasteur Dr
Hh333
Stanford, CA 94305-2200
Phone (650) 724-0456

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190411001739 IL Practitioner - Gynecological OncologyPractitioner - Obstetrics/Gynecology 0345245379 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
93.28 of 100Reported as group
Quality
73.53
Promoting interoperability
100
Improvement activities
40
Cost
70.73

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
117311CAMDMarriage & Family Therapist
MD12144RIMDObstetrics & Gynecology Physician
A117311CAMDGynecologic Oncology Physician
036148061ILMDGynecologic Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Board of Trustees of the University of Illinois CurrentSince Mar 1, 2019 Accepting new patients
The Board of Trustees of the University of Illinois Obstetrics & Gynecology CurrentSince Mar 1, 2019 Accepting new patients
Women & Infants Hospital of Rhode Island Past Accepting new patients
Stanford Hospital and Clinics Past Accepting new patients
LPCH Medical Group Div of Lucile Past Accepting new patients

Locations

820 S Wood St
#808
Chicago, IL 60612
Phone (312) 996-7006

7732 Solution Ctr
Chicago, IL 60677
Phone (312) 355-6290

1740 W Taylor St
Chicago, IL 60612
Phone (312) 355-4000

1801 W Taylor St
Ste 1E
Chicago, IL 60612
Phone (312) 355-1625

820 S Wood St
Chicago, IL 60612
Phone (312) 996-6765

Interoperability endpoints

  • Direct secure messaging: smaclaughlan18960@uihealth.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551830400000",
    "number": "1720001894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 S WOOD ST # MC808",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606124325",
            "telephone_number": "312-996-7006",
            "fax_number": "312-996-4238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 W TAYLOR ST STE 1E",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606124795",
            "telephone_number": "312-413-9874",
            "fax_number": "312-355-1515"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Pasteur Dr",
            "address_2": "HH333",
            "address_purpose": "LOCATION",
            "city": "Stanford",
            "state": "CA",
            "postal_code": "943052200",
            "country_code": "US",
            "telephone_number": "650-724-0456",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MACLAUGHLAN",
        "first_name": "SHANNON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2019-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "RI",
            "license": "MD12144",
            "primary": false
        },
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "CA",
            "license": "A117311",
            "primary": false
        },
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "IL",
            "license": "036148061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.