Individual provider Active NPI

Shivi Jain, M.D.

  • Hematology & Oncology Physician
  • Chicago, IL
National Provider Identifier
1841529625
Registry record updated Aug 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
036124899 Issued in IL
Practice address
1725 W Harrison St Ste 1010
Chicago, IL 60612
Phone
(312) 942-5904
NPI assigned
Dec 8, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 036124899 IL Primary

Addresses

Primary practice location

1725 W Harrison St Ste 1010
Chicago, IL 60612

Mailing address

1725 W Harrison St Ste 1010
Chicago, IL 60612-3841
Phone (312) 942-5904

Other practice location 1

1901 W harrison street
Department of medicine,John H Stroger Hospital
Chicago, IL 60612
Phone (312) 740-4218

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
I20120110000413 IL Practitioner - Hematology/OncologyPractitioner - Internal Medicine 6406022649 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Internal Medicine
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rush University Medical GroupGroup PAC ID 5496658874, 1,521 clinicians

Practice addresses (Care Compare)

1520 W Harrison St
Chicago, IL 60607-3106
Phone (312) 942-5904

1620 W Harrison St
Chicago, IL 60612-3801

1653 W Congress Pkwy
Chicago, IL 60612-3833

1700 W Van Buren St
Chicago, IL 60612-5500
Phone (312) 563-2875

610 S Maple Ave
Suite 2000
Oak Park, IL 60304-1091
Phone (312) 942-4444

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cook County CurrentSince Nov 30, 2011 Accepting new patients
Rush University Medical Center Internal Medicine CurrentSince Oct 1, 2020 Accepting new patients
Rush University Medical Group Internal Medicine CurrentSince Oct 1, 2020 Accepting new patients
Cook County Internal Medicine CurrentSince Nov 30, 2011 Accepting new patients
The Board of Trustees of the University of Illinois Current Accepting new patients
The Board of Trustees of the University of Illinois Internal Medicine CurrentSince Aug 16, 2015 Accepting new patients
Cook County Current Accepting new patients
The Board of Trustees of the University of Illinois CurrentSince Aug 16, 2015 Accepting new patients

Locations

1901 W Harrison St
#H
Chicago, IL 60612

7732 Solution Ctr
Chicago, IL 60677
Phone (312) 355-6290

840 S Wood St
#787
Chicago, IL 60612
Phone (312) 413-8687

1700 W Van Buren St
#500
Chicago, IL 60612
Phone (312) 563-2875

1520 W Harrison St
Chicago, IL 60607
Phone (312) 226-2371

820 S Wood St
Ste 172
Chicago, IL 60612
Phone (312) 996-5680

1725 W Harrison St
Ste 1010
Chicago, IL 60612
Phone (312) 942-5904

1855 W Taylor St
Chicago, IL 60612
Phone (312) 996-6582

1901 W Harrison St
Chicago, IL 60612
Phone (312) 864-5100

845 W Wilson Ave
Chicago, IL 60640
Phone (312) 744-1295

500 E 51st St
Chicago, IL 60615
Phone (312) 572-2000

75 Remittance Dr
Dept 1611
Chicago, IL 60675

430 Warrenville Rd
Ste 2
Lisle, IL 60532
Phone (630) 724-8700

Interoperability endpoints

  • Direct secure messaging: sjain48045@direct.rush.rush-health.com

Organizations & group practices 8

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1260230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565136000000",
    "number": "1841529625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 W HARRISON ST STE 1010",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123841",
            "telephone_number": "312-942-5904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 W HARRISON ST STE 1010",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60612",
            "telephone_number": "312-942-5904"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1901 W harrison street",
            "address_2": "Department of medicine,John H Stroger Hospital",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "60612",
            "country_code": "US",
            "telephone_number": "312-740-4218",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAIN",
        "first_name": "SHIVI",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-08",
        "last_updated": "2019-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "IL",
            "license": "036124899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.