Individual provider Active NPI

Shaheen Ranjha

  • Diagnostic Radiology Physician
  • Olympia Fields, IL
National Provider Identifier
1821442955
Registry record updated Dec 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
036157130 Issued in IL
Practice address
20201 Crawford Ave
Olympia Fields, IL 60461-1010
Phone
(708) 747-4000
NPI assigned
Apr 14, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Diagnostic Radiology Physician 2085R0202X 036157130 IL Primary

Addresses

Primary practice location

20201 Crawford Ave
Olympia Fields, IL 60461-1010

Mailing address

20201 Crawford Ave
Olympia Fields, IL 60461-1010

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sranjha310840@direct.myadvocateaurora.org

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210813000164 IL Practitioner - Diagnostic Radiology 3971899337 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bright Light Medical Imaging SCGroup PAC ID 3678527140, 18 clinicians

Practice addresses (Care Compare)

31 Arlington Heights Rd
Elk Grove Village, IL 60007-1405
Phone (847) 439-2315

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036157130ILMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bright Light Medical Imaging, SC Diagnostic Radiology CurrentSince Mar 1, 2022 Accepting new patients
Integrated Imaging Consultants LLC Diagnostic Radiology CurrentSince Jul 1, 2021 Accepting new patients

Locations

7456 S State Rd
Chicago, IL 60638
Phone (708) 930-1420

2320 E 93rd St
Chicago, IL 60617
Phone (773) 967-2000

7372 Route 83
Darien, IL 60561
Phone (630) 455-5552

31 Arlington Heights Rd
Elk Grove Vlg, IL 60007
Phone (847) 439-2315

8319 W North Ave
Melrose Park, IL 60160
Phone (708) 450-9700

1775 W Dempster St
Park Ridge, IL 60068
Phone (847) 723-5150

646 N Addison Rd
Villa Park, IL 60181
Phone (630) 686-1000

270 W Loop Rd
Wheaton, IL 60189
Phone (630) 653-3284

Interoperability endpoints

  • Direct secure messaging: sranjha310840@direct.myadvocateaurora.org

Organizations & group practices 2

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": "1460592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640908800000",
    "number": "1821442955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20201 CRAWFORD AVE",
            "city": "OLYMPIA FIELDS",
            "state": "IL",
            "postal_code": "604611010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20201 CRAWFORD AVE",
            "city": "OLYMPIA FIELDS",
            "state": "IL",
            "postal_code": "604611010",
            "telephone_number": "708-747-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANJHA",
        "first_name": "SHAHEEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-14",
        "last_updated": "2021-12-31",
        "certification_date": "2021-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036157130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sranjha310840@direct.myadvocateaurora.org",
            "affiliation": "N",
            "address_1": "2320 E 93rd St",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606173909",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Olympia Fields, IL

Sources for this page

Verify at the official NPI Registry.