Active NPI
Shakil Abdul Karim, D.O.
- Gastroenterology Physician
- Rockford, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 036-109579
- Practice address
- 1401 E State St
Rockford, IL 61104-2315 - Phone
- (779) 696-4200
- NPI assigned
- May 12, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 34.009319 | OH | |
| Internal Medicine Physician | 207R00000X | 036.109579 | IL | |
| Gastroenterology Physician | 207RG0100X | 036-109579 | IL | Primary |
| Gastroenterology Physician | 207RG0100X | 42-321 | WI |
Addresses
Primary practice location
1401 E State St
Rockford, IL 61104-2315
Mailing address
PO Box 781076
Detroit, MI 48278-1076
Phone (317) 528-4800
Other practice location 1
1000 N Oak Ave
Marshfield, WI 54449-5703
Phone (715) 387-5511
Other practice location 2
1320 W Main St
Newark, OH 43055-1822
Phone (220) 564-4137
Other practice location 3
3700 W 203rd St Ste 302
Olympia Fields, IL 60461-1182
Phone (101) 020-1670
Other practice location 4
1036 W Stephenson St
Freeport, IL 61032-4865
Phone (815) 599-6000
Other practice location 5
1045 W Stephenson St
Freeport, IL 61032-4864
Phone (815) 599-6000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036109579 | Medicaid | IL |
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | him@marshfieldclinichealthsystem.cernerdirect.com | Other | |
| Direct Messaging Address | skarim24439@lickingmemorial.medicity.net | Licking Memorial Professional Corporation | |
| Direct Messaging Address | skarim236931@Direct.FranciscanAlliance.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, WI, IL, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1401 E State St
Rockford, IL 61104-2315
Phone (815) 489-4400
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 66 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 156 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-109579 | IL | MD | Gastroenterology Physician |
| 34.009319 | OH | MD | Gastroenterology Physician |
| 42-321 | WI | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hendrick Medical Center | Internal Medicine | Current | Accepting new patients |
| Hendrick Medical Center | Current | Accepting new patients | |
| MCHS Hospitals Inc | Internal Medicine | Current | Accepting new patients |
| Lakeview Medical Center Inc of Rice Lake | Current | Accepting new patients | |
| Freeport Memorial Hospital | Current | Accepting new patients | |
| Marshfield Clinic Inc | Current | Accepting new patients | |
| MCHS Hospitals Inc | Current | Accepting new patients | |
| Beaver Dam Community Hospitals Inc | Current | Accepting new patients | |
| Lakeview Medical Center Inc of Rice Lake | Current | Accepting new patients | |
| MCHS Hospitals Inc | Current | Accepting new patients | |
| Flambeau Hospital Inc | Current | Accepting new patients | |
| Swedishamerican Hospital | Current | Accepting new patients | |
| Memorial Hospital Inc | Current | Accepting new patients | |
| Union Associated Physicians Clinic LLC | Current | Accepting new patients | |
| Freeport Regional Health Care Foundation | Internal Medicine | Current | Accepting new patients |
| Swedishamerican Hospital | Current | Accepting new patients | |
| Flambeau Hospital Inc | Current | Accepting new patients | |
| Beaver Dam Community Hospitals Inc | Current | Accepting new patients | |
| Union Associated Physicians Clinic, LLC | Current | Accepting new patients | |
| Swedishamerican Hospital | Internal Medicine | Current | Accepting new patients |
| Freeport Memorial Hospital | Past | Accepting new patients | |
| Memorial Hospital Inc | Past | Accepting new patients | |
| Licking Memorial Professional Corp. | Past | Accepting new patients |
Locations
1036 W Stephenson St
Freeport, IL 61032
Phone (815) 599-7410
1045 W Stephenson St
Freeport, IL 61032
Phone (815) 599-6105
421 W Exchange St
Freeport, IL 61032
Phone (815) 599-7300
1401 E State St
Rockford, IL 61104
Phone (815) 489-4267
2550 Charles St
Rockford, IL 61108
Phone (779) 696-7285
6824 Newburg Rd
Rockford, IL 61108
Phone (779) 696-7610
600 N Rush St
Stockton, IL 61085
Phone (815) 235-3165
1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523
221 S 6th St
Terre Haute, IN 47807
Phone (812) 242-3157
1900 Pine St
Abilene, TX 79601
Phone (325) 670-4220
705 S University Ave
Beaver Dam, WI 53916
Phone (920) 885-6090
3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200
1000 Starr Ave
Eau Claire, WI 54703
Phone (715) 858-4850
1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111
1102 S Center Ave
Merrill, WI 54452
Phone (715) 536-3399
N3708 River Ave
Neillsville, WI 54456
Phone (715) 743-3101
1700 W Stout St
Rice Lake, WI 54868
Phone (715) 236-6133
900 Illinois Ave
Stevens Point, WI 54481
Phone (715) 342-7500
3400 Ministry Pkwy
Weston, WI 54476
Phone (715) 393-1000
Interoperability endpoints
- skarim236931@direct.franciscanalliance.org
- him@marshfieldclinichealthsystem.cernerdirect.com
- shakil.karim@marshfieldclinichealthsystem.cernerdirect.com
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 and National Provider Directory roles.
-
- General Acute Care Hospital
- Freeport, IL
- NPI 1447228788
-
- Family Medicine Physician
- Freeport, IL
- NPI 1457337016
Internal Medicine
-
- Clinic/Center
- Beaver Dam, WI
- NPI 1972188555
-
- Clinic/Center
- Park Falls, WI
- NPI 1194317966
-
- Critical Access Hospital
- Park Falls, WI
- NPI 1700963048
-
- Clinic/Center
- Rice Lake, WI
- NPI 1093201832
-
- Clinic/Center
- Marshfield, WI
- NPI 1952347981
-
- Critical Access Hospital
- Ladysmith, WI
- NPI 1952890873
-
- Critical Access Hospital
- Neillsville, WI
- NPI 1346239373
-
- Family Medicine Physician
- Terre Haute, IN
- NPI 1891028379
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Rockford, IL
- NPI 1760542732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783555200000",
"number": "1720039019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 781076",
"city": "DETROIT",
"state": "MI",
"postal_code": "482781076",
"telephone_number": "317-528-4800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 E STATE ST",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611042315",
"telephone_number": "779-696-4200"
}
],
"practiceLocations": [
{
"address_1": "1000 N Oak Ave",
"address_purpose": "LOCATION",
"city": "Marshfield",
"state": "WI",
"postal_code": "544495703",
"country_code": "US",
"telephone_number": "715-387-5511",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1320 W Main St",
"address_purpose": "LOCATION",
"city": "Newark",
"state": "OH",
"postal_code": "430551822",
"country_code": "US",
"telephone_number": "220-564-4137",
"fax_number": "220-564-4119",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3700 W 203rd St Ste 302",
"address_purpose": "LOCATION",
"city": "Olympia Fields",
"state": "IL",
"postal_code": "604611182",
"country_code": "US",
"telephone_number": "101-020-1670",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1036 W Stephenson St",
"address_purpose": "LOCATION",
"city": "Freeport",
"state": "IL",
"postal_code": "610324865",
"country_code": "US",
"telephone_number": "815-599-6000",
"fax_number": "815-599-7974",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1045 W Stephenson St",
"address_purpose": "LOCATION",
"city": "Freeport",
"state": "IL",
"postal_code": "610324864",
"country_code": "US",
"telephone_number": "815-599-6000",
"fax_number": "815-599-7974",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KARIM",
"first_name": "SHAKIL",
"middle_name": "ABDUL",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-12",
"last_updated": "2026-07-09",
"certification_date": "2026-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "OH",
"license": "34.009319",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036.109579",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "IL",
"license": "036-109579",
"primary": true
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "WI",
"license": "42-321",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036109579",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "him@marshfieldclinichealthsystem.cernerdirect.com",
"affiliation": "N",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "Other",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Other",
"address_1": "1000 N Oak Ave",
"city": "Marshfield",
"state": "WI",
"country_code": "US",
"postal_code": "544495703",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "skarim24439@lickingmemorial.medicity.net",
"affiliation": "Y",
"affiliationName": "Licking Memorial Professional Corporation",
"address_1": "1320 W Main St",
"city": "Newark",
"state": "OH",
"country_code": "US",
"postal_code": "430551822",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "skarim236931@Direct.FranciscanAlliance.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "3700 W 203rd St Ste 302",
"city": "Olympia Fields",
"state": "IL",
"country_code": "US",
"postal_code": "604611182",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Rockford, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.