Individual provider Active NPI

Shoeb Mohiuddin, M.D.

  • Anesthesiology Physician
  • Chicago, IL
National Provider Identifier
1770928640
Registry record updated Jan 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
036140752 Issued in IL
Practice address
1658 N Milwaukee Ave
# 295
Chicago, IL 60647-6905
Phone
(312) 300-3882
NPI assigned
May 6, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 036140752 IL
Anesthesiology Physician 207L00000X 036140752 IL Primary

Addresses

Primary practice location

1658 N Milwaukee Ave
# 295
Chicago, IL 60647-6905

Mailing address

1740 W Taylor St
3200W Uih M/C515
Chicago, IL 60612-7232
Phone (312) 996-4021

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180809000775 IL Practitioner - AnesthesiologyPractitioner - Interventional Pain Management 2062712300 Reassigns benefits to 3 organizations
I20220413001629 IL Practitioner - Pain ManagementPractitioner - Anesthesiology 2062712300 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Anesthesiology
Education
St. Louis College of Physicians and Surgeons, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Parkview Orthopaedic Group S CGroup PAC ID 9335134691, 31 clinicians

Practice addresses (Care Compare)

2122 W Devon Ave
Chicago, IL 60659-3581
Phone (312) 300-3882

7600 W College Dr
Palos Heights, IL 60463-1001
Phone (708) 361-0880

Merit-based Incentive Payment System (MIPS)

Final score
72.88 of 100Reported as group
Quality
65.59
Promoting interoperability
71
Improvement activities
40
Cost
68.17

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036140752ILMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Metropolitan Institute of Pain, Inc. CurrentSince Jun 24, 2018 Accepting new patients
Chicago Anesthesia, LLC Pain Medicine CurrentSince Dec 4, 2021 Accepting new patients
Gold Coast Anesthesia PLLC Anesthesiology CurrentSince Aug 6, 2021 Accepting new patients
Valley Pain Care Centers LTD Pain Medicine CurrentSince May 14, 2021 Accepting new patients
Parkview Orthopaedic Group S C CurrentSince Jul 1, 2024 Accepting new patients
Parkview Orthopaedic Group S C Current Accepting new patients
Regenerative Pain & Spine PLLC Pain Medicine CurrentSince Dec 4, 2021 Accepting new patients
Skypoint Medical Center, SC CurrentSince Jul 1, 2021 Accepting new patients
Parkview Orthopaedic Group S C Past Accepting new patients
Center for Gynecology and Cosmetics, LTD Past Accepting new patients

Locations

712 N Dearborn St
Chicago, IL 60654
Phone (312) 951-8200

312 N May St
Ste 110
Chicago, IL 60607
Phone (312) 724-8887

2335 W Fullerton Ave
Ste B
Chicago, IL 60647
Phone (312) 300-3882

820 W Jackson Blvd
Ste 310
Chicago, IL 60607
Phone (312) 408-8650

2335 W Fullerton Ave
Chicago, IL 60647
Phone (773) 249-2700

1 Kish Hospital Dr
DeKalb, IL 60115
Phone (815) 754-1521

130 S Main St
Ste 203
Lombard, IL 60148
Phone (630) 261-9225

688 Cedar Crossings Dr
New Lenox, IL 60451
Phone (815) 727-3030

23 S Lincolnway
North Aurora, IL 60542
Phone (630) 264-8000

100 5th St
Oswego, IL 60543
Phone (630) 449-0085

7600 W College Dr
Palos Heights, IL 60463
Phone (708) 361-0600

7600 W College Dr
Ste 3
Palos Heights, IL 60463
Phone (708) 361-0600

1140 S Roselle Rd
Schaumburg, IL 60193
Phone (847) 385-4828

1102 S Roselle Rd
Schaumburg, IL 60193
Phone (847) 301-7773

1879 N Neltnor Blvd
West Chicago, IL 60185

Interoperability endpoints

  • Direct secure messaging: shoeb.mohiuddin.p1@direct.parkviewortho.nextgenshare.com
  • FHIR API: https://api.platform.athenahealth.com/8847/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/GAEJAD

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1367798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641945600000",
    "number": "1770928640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1740 W TAYLOR ST",
            "address_2": "3200W UIH M/C515",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606127232",
            "telephone_number": "312-996-4021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1658 N MILWAUKEE AVE",
            "address_2": "# 295",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606476905",
            "telephone_number": "312-300-3882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHIUDDIN",
        "first_name": "SHOEB",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-06",
        "last_updated": "2022-01-12",
        "certification_date": "2022-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "IL",
            "license": "036140752",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": "036140752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.