Individual provider Active NPI

Nazneen A Shaikh, DO

  • Obstetrics & Gynecology Physician
  • Downers Grove, IL
National Provider Identifier
1770073934
Registry record updated Jul 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
036165511 Issued in IL
Practice address
412 63Rd St
Downers Grove, IL 60516-2000
Phone
(630) 969-7706
NPI assigned
May 14, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 036165511 IL Primary

Addresses

Primary practice location

412 63Rd St
Downers Grove, IL 60516-2000

Mailing address

412 63Rd St
Downers Grove, IL 60516-2000
Phone (630) 969-7706

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nazneen.shaikh.1@1576.direct.athenahealth.com

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
I20230808003199 IL Practitioner - Obstetrics/Gynecology 7214311232 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Rowan University School of Osteopathic Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adventist Health Partners, Inc.Group PAC ID 0244135762, 253 clinicians

Practice addresses (Care Compare)

2363 63Rd St
Woodridge, IL 60517-1369
Phone (630) 716-7510

396 Remington Blvd
Bolingbrook, IL 60440-4311

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
009503AZMDCertified Respiratory Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health Partners, Inc. Current Accepting new patients
Adventist Health Partners,Inc Family Medicine CurrentSince Aug 7, 2023 Accepting new patients
Adventist Health Partners, Inc Family Medicine CurrentSince Aug 7, 2023 Accepting new patients
Adventist Health Partners,Inc Family Medicine Past Accepting new patients

Locations

396 Remington Blvd
Ste 231
Bolingbrook, IL 60440
Phone (630) 312-4301

412 63rd St
Downers Grove, IL 60516
Phone (630) 719-5470

2363 63rd St
Woodridge, IL 60517
Phone 22477355880000

Interoperability endpoints

  • Direct secure messaging: nshaikh1928959@adventhealth.direct-ci.com

Organizations & group practices 4

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.

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": "1526256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690416000000",
    "number": "1770073934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 63RD ST",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605162000",
            "telephone_number": "630-969-7706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 63RD ST",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605162000",
            "telephone_number": "630-969-7706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAIKH",
        "first_name": "NAZNEEN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-14",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036165511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nazneen.shaikh.1@1576.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "6060 N Fountain Plaza Dr Ste 250",
            "city": "Tucson",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "857047873",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Downers Grove, IL

Sources for this page

Verify at the official NPI Registry.