Individual provider Active NPI

Shirin Zohaib Jiva

  • Family Nurse Practitioner
  • Morton Grove, IL
National Provider Identifier
1780487629
Registry record updated Mar 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209032015 Issued in IL
Practice address
8428 Austin Ave
Morton Grove, IL 60053-3212
Phone
(224) 600-6007
NPI assigned
Mar 28, 2025
Last updated
Mar 28, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2025

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 209032015 IL Primary

Addresses

Primary practice location

8428 Austin Ave
Morton Grove, IL 60053-3212

Mailing address

8428 Austin Ave
Morton Grove, IL 60053-3212
Phone (224) 600-6007

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
I20250404000345 IL Practitioner - Nurse Practitioner 2365966942 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Top Medical Consultants PCGroup PAC ID 8426449950, 13 clinicians

Practice addresses (Care Compare)

4712 Laurel Ave
Glenview, IL 60025-1419
Phone (847) 943-9508

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Top Medical Consultants PC CurrentSince Mar 25, 2025 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1743120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743120000000",
    "number": "1780487629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8428 AUSTIN AVE",
            "city": "MORTON GROVE",
            "state": "IL",
            "postal_code": "600533212",
            "telephone_number": "224-600-6007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8428 AUSTIN AVE",
            "city": "MORTON GROVE",
            "state": "IL",
            "postal_code": "600533212",
            "telephone_number": "224-600-6007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIVA",
        "first_name": "SHIRIN",
        "middle_name": "ZOHAIB",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-28",
        "last_updated": "2025-03-28",
        "certification_date": "2025-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209032015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morton Grove, IL

Sources for this page

Verify at the official NPI Registry.