Manzoor Hussain Shah, MD

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

036 049259 Issued in IL

Practice address

1479 Ring Rd
Calumet City, IL 60409

Phone

(708) 891-2181

Fax

(708) 891-2188

NPI assigned

Oct 2, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Manzoor Hussain Former name

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

Pulmonary DiseaseAlso: Critical Care (Intensivists)

Education

Other, 1972

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Hospital & facility affiliations

• South Shore Hospital Hospital, Chicago, IL, CCN 140181
• Advocate Trinity Hospital Hospital, Chicago, IL, CCN 140048

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Manzoor Hussain Shah M.D.S.C

  • Pulmonary Disease Physician
  • Calumet City, IL
  • NPI 1215191630
  Medicare reassignment Authorized official
• Franciscan Health Dyer & Hammond

  • Home Health Agency
  • Lansing, IL
  • NPI 1831194182
  NPD (past)
• Cardio-Pulmonary Associates, P.C.

  • Pulmonary Disease Physician
  • Munster, IN
  • NPI 1790850766
  NPD (past)
• Heart-Lung Health Centers

  • Internal Medicine Physician
  • Munster, IN
  • NPI 1336216662
  NPD (past)

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

• Advocate Health and Hospitals Corporation

  • General Acute Care Hospital
  • Hazel Crest, IL
  • NPI 1467560128
  Care Compare affiliation
• Advocate Health and Hospitals Corporation

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1558479212
  Care Compare affiliation
• South Shore Hospital Corporation

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1053391359
  Care Compare affiliation

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413244800000",
    "number": "1811080716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1479 RING RD",
            "city": "CALUMET CITY",
            "state": "IL",
            "postal_code": "60409",
            "telephone_number": "708-891-2181",
            "fax_number": "708-891-2188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1479 RING RD",
            "city": "CALUMET CITY",
            "state": "IL",
            "postal_code": "60409",
            "telephone_number": "708-891-2181",
            "fax_number": "708-891-2188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "MANZOOR",
        "middle_name": "HUSSAIN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2014-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "IL",
            "license": "036 049259",
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "IN",
            "license": "01031445",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036049259",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PUBLIC AID",
            "identifier": "100005670B",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MANZOOR",
            "last_name": "HUSSAIN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Micaela Sanchez, ATC
• Myeesha L Sanders, CERTIFIED HAIR LOSS
• Sapphire Enteprises Inc.
• Mathuraa Sasitharan, OD
• Timothy Seals
• Jerome J Shallon, RPH
• Sierra Shelby, LPC
• Bernice Shelton, D.T.
• Sibley Family Medical Center SC
• Brenda Simons, O.D.

• Pulmonary Disease Physician in Calumet City, IL
• Providers in Calumet City, IL by specialty
• Pulmonary Disease Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2014; 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.