Organization Active NPI

Shifa Cardiology Consultants MD SC

  • Cardiovascular Disease Physician
  • Chicago, IL
National Provider Identifier
1720131014
Registry record updated Aug 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
SHIFA CARDIOLOGY CONSULTANTS MD SC
Practice address
4640 N Marine Dr
Chicago, IL 60640-5719
Phone
(773) 564-5900
Fax
(773) 564-5911
NPI assigned
Jan 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2009

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

Authorized official

Name
Dr. Amjad I Sheikh, MDNPI 1851326110
Title
Vice President
Phone
(773) 564-5900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

4640 N Marine Dr
Chicago, IL 60640-5719

Mailing address

4640 N Marine Dr
Chicago, IL 60640-5719
Phone (773) 564-5900

Other identifiers 1

IdentifierTypeStateIssuer
01633016OtherILBCBSPROVIDER NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051221000936 IL Part B Supplier - Clinic/Group Practice 3577585256 Receives reassigned benefits from 4 practitioners
Practice locations: Chicago, IL; Evanston, IL

National Provider Directory

National Provider Directory

Locations

760 Village Center Dr
Ste 220
Burr Ridge, IL 60527
Phone (630) 242-6644

6320 N Lincoln Ave
Chicago, IL 60659

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251072000000",
    "number": "1720131014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4640 N MARINE DR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606405719",
            "telephone_number": "773-564-5900",
            "fax_number": "773-564-5911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4640 N MARINE DR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606405719",
            "telephone_number": "773-564-5900",
            "fax_number": "773-564-5911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIFA CARDIOLOGY CONSULTANTS MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2009-08-24",
        "status": "A",
        "authorized_official_last_name": "SHEIKH",
        "authorized_official_first_name": "AMJAD",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "773-564-5900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSPROVIDER NUMBER",
            "identifier": "01633016",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.