Shadi Hamdan, M.D.

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

60658 Issued in WI

Practice address

3100 Shore Dr
Marinette, WI 54143-4242

Phone

(715) 735-4200

NPI assigned

Aug 13, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

Hematology/Oncology

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Prime Healthcare Illinois Medical Group LLCGroup PAC ID 5597275685, 278 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Saint Joseph Medical Center Hospital, Joliet, IL, CCN 140007
• Presence Mercy Medical Center Hospital, Aurora, IL, CCN 140174
• Saint Francis Hospital-Evanston Hospital, Evanston, IL, CCN 140080
• Presence St Marys Hospital Hospital, Kankakee, IL, CCN 140155
• Morris Hospital & Healthcare Centers Hospital, Morris, IL, CCN 140101

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: shamdan253089@direct.bilh.masshiway.net

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.

• Prime Healthcare Illinois Medical Group LLC

  • Multi-Specialty Clinic/Center
  • Des Plaines, IL
  • NPI 1023837689

  IL, Internal Medicine

  Medicare reassignment Care Compare group NPD
• Advocate Health and Hospitals Corporation

  • Multi-Specialty Clinic/Center
  • Oak Brook, IL
  • NPI 1700824455

  IL

  Medicare reassignment NPD
• Affiliated Oncologists, LLC

  • Medical Oncology Physician
  • Oak Lawn, IL
  • NPI 1225314362

  Hematology & Oncology, IL

  Medicare reassignment NPD
• Ahp Specialty Care NFP

  • Specialist
  • Hinsdale, IL
  • NPI 1619334406

  IL

  Medicare reassignment NPD
• Advocate Health & Hospitals Corporation

  • Medical Specialty Clinic/Center
  • Oak Lawn, IL
  • NPI 1912936014
  NPD
• Advocate Health and Hospitals Corporation

  • Children's Hospital
  • Oak Lawn, IL
  • NPI 1508315516
  NPD
• Gynecological Cancer Institute of Chicago, LLC

  • Gynecologic Oncology Physician
  • Oak Lawn, IL
  • NPI 1114318474
  NPD (past)
• New England Baptist Medical Associates, Inc.

  • Internal Medicine Physician
  • Roxbury Crossing, MA
  • NPI 1609854991

  Internal Medicine

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Mercy Medical Center - Aurora LLC

  • General Acute Care Hospital
  • Aurora, IL
  • NPI 1598503922

  Hospital

  Care Compare affiliation
• Morris Hospital

  • General Acute Care Hospital
  • Morris, IL
  • NPI 1649370057

  Hospital

  Care Compare affiliation
• Saint Francis Hospital - Evanston LLC

  • General Acute Care Hospital
  • Evanston, IL
  • NPI 1982442398

  Hospital

  Care Compare affiliation
• Saint Joseph Medical Center - Joliet LLC

  • General Acute Care Hospital
  • Joliet, IL
  • NPI 1760220198

  Hospital

  Care Compare affiliation
• St Marys Hospital - Kankakee LLC

  • General Acute Care Hospital
  • Kankakee, IL
  • NPI 1467290809

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1186963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445385600000",
    "number": "1801088992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 SHORE DR",
            "city": "MARINETTE",
            "state": "WI",
            "postal_code": "541434242",
            "telephone_number": "715-735-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 SHORE DR",
            "city": "MARINETTE",
            "state": "WI",
            "postal_code": "541434242",
            "telephone_number": "715-735-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMDAN",
        "first_name": "SHADI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-13",
        "last_updated": "2015-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "WI",
            "license": "60658",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "60658",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH/ REF NUMBER FOR BLUE CROSS BLUE SHILED",
            "identifier": "12518401",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Steven Hahn, CSAC
• Behnam Hajihossainlou, M.D.
• Stephanie Rose Hakkila, APNP
• Osama M Halaweh, MD
• Andrea Hallfrisch, M.A. CCC-SLP
• Cari Hames
• Nola M Hardy, RD
• Amber Marie Harmala, APSW
• Michael George Hartmann, DO
• Wael Salaheldin Hassan, M.D.

• Hematology & Oncology Physician in Marinette, WI
• Providers in Marinette, WI by specialty
• Hematology & Oncology Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2015; 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.

Verify at the official NPI Registry.