Active NPI
Tasin Shuaipaj, M.D.
- Hospitalist Physician
- Bolingbrook, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 036119536
- Practice address
- 1000 Remington Blvd
Suite 200
Bolingbrook, IL 60440-5114 - Phone
- (630) 312-7755
- Fax
- (630) 856-9933
- NPI assigned
- Jul 3, 2007
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036119536 | IL | |
| Hospitalist Physician | 208M00000X | 036119536 | IL | Primary |
| Pediatrics Physician | 208000000X | 036119536 | IL |
Addresses
Primary practice location
1000 Remington Blvd
Suite 200
Bolingbrook, IL 60440-5114
Mailing address
1000 Remington Blvd
Suite 200
Bolingbrook, IL 60440-5114
Phone (630) 312-7755
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
- Internal Medicine
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
500 Remington Blvd
Bolingbrook, IL 60440-4906
Phone (630) 312-5000
Hospital & facility affiliations
- Uchicago Medicine Adventhealth Home Care
- Uchicago Medicine Adventhealth la Grange
- Uchicago Medicine Adventhealth Hinsdale
- Burgess Square Healthcare Ctr
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036119536 | IL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advance Inpatient Medicine LLC | Hospitalist | Current | Accepting new patients |
Locations
500 Remington Blvd
Bolingbrook, IL 60440
Phone (630) 312-5000
5101 Willow Springs Rd
Lagrange Hlds, IL 60525
Phone (708) 245-4073
903 Commerce Dr
Ste 333
Oak Brook, IL 60523
Phone (630) 571-6770
120 N Oak St
Oak Brook Mall, IL 60521
Phone (630) 856-6700
9500 Bryn Mawr Ave
Ste 300
Rosemont, IL 60018
Phone (847) 410-5706
1131 W Jefferson St
Shorewood, IL 60404
Organizations & group practices 2
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.
-
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- Oak Brook, IL
- NPI 1265989875
-
- Pulmonary Disease Physician
- Westmont, IL
- NPI 1649283896
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hinsdale, IL
- NPI 1265465439
-
- General Acute Care Hospital
- La Grange, IL
- NPI 1407889652
-
- Psychiatric Hospital Unit
- Hinsdale, IL
- NPI 1447270780
-
- Home Health Agency
- La Grange, IL
- NPI 1457397317
-
- Rehabilitation Hospital Unit
- La Grange, IL
- NPI 1588068274
-
- Skilled Nursing Facility
- Westmont, IL
- NPI 1114204831
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488758400000",
"number": "1720286552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 REMINGTON BLVD",
"address_2": "SUITE 200",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604405114",
"telephone_number": "630-312-7755",
"fax_number": "630-856-9933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 REMINGTON BLVD",
"address_2": "SUITE 200",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604405114",
"telephone_number": "630-312-7755",
"fax_number": "630-856-9933"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHUAIPAJ",
"first_name": "TASIN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-03",
"last_updated": "2017-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036119536",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "IL",
"license": "036119536",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IL",
"license": "036119536",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bolingbrook, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2017; 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.