Individual provider Active NPI

Shiji Benny

  • Family Nurse Practitioner
  • Elk Grove Village, IL
National Provider Identifier
1770096489
Registry record updated Nov 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
291.016410 Issued in IL
Practice address
800 Biesterfield Rd Ste 3007
Elk Grove Village, IL 60007-3371
Phone
(847) 290-6513
Fax
(847) 290-8505
NPI assigned
Nov 16, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 291.016410 IL Primary

Addresses

Primary practice location

800 Biesterfield Rd Ste 3007
Elk Grove Village, IL 60007-3371

Mailing address

800 Biesterfield Rd # 3007
Elk Grove Village, IL 60007-3361
Phone (847) 290-6513

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180209000332 IL Practitioner - Nurse Practitioner 8820358971 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7 N Evanston Ave
Arlington Heights, IL 60004-6615
Phone (224) 600-8778

Hospital & facility affiliations

  • Best Care Home Health, Inc. Home health agency, Lincolnwood, IL, CCN 147623
  • Alexian Brothers Medical Center 1 Hospital, Elk Grove Village, IL, CCN 140258
  • Northwest Community Hospital 1 Hospital, Arlington Heights, IL, CCN 140252

Merit-based Incentive Payment System (MIPS)

Final score
93.23 of 100Reported as individual
Quality
77.88
Improvement activities
40
Cost
73.59

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
291.016410ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Illinois Adult Healthcare LLC CurrentSince Jan 1, 2018 Accepting new patients
Abc Adult Care LLC Family CurrentSince Nov 26, 2018 Accepting new patients
Paragon Clinical Midwest, LLC Past Accepting new patients
Osf Multi-Specialty Group Past Accepting new patients

Locations

800 W Oakton St
Arlington Hts, IL 60004
Phone (847) 253-3710

715 W Central Rd
Arlington Hts, IL 60005
Phone (847) 392-2020

129 E Lake St
Bloomingdale, IL 60108
Phone (630) 230-8805

1301 Lee St
Des Plaines, IL 60018
Phone (847) 635-4000

935 Beisner Rd
Elk Grove Vlg, IL 60007
Phone (847) 319-3660

800 Biesterfield Rd
Ste 3007
Elk Grove Vlg, IL 60007
Phone (847) 301-1377

1940 Nerge Rd
Elk Grove Vlg, IL 60007
Phone (847) 301-0550

675 S Roselle Rd
Schaumburg, IL 60193
Phone (847) 352-5500

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 4

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": "1510790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510790400000",
    "number": "1770096489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 BIESTERFIELD RD # 3007",
            "city": "ELK GROVE VILLAGE",
            "state": "IL",
            "postal_code": "600073361",
            "telephone_number": "847-290-6513",
            "fax_number": "847-290-8505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 BIESTERFIELD RD STE 3007",
            "city": "ELK GROVE VILLAGE",
            "state": "IL",
            "postal_code": "600073371",
            "telephone_number": "847-290-6513",
            "fax_number": "847-290-8505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNY",
        "first_name": "SHIJI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-16",
        "last_updated": "2017-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "291.016410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk Grove Village, IL

Sources for this page

Verify at the official NPI Registry.