Individual provider Active NPI

Shervin Karimpour, M.D.

  • Radiation Oncology Physician
  • Hollywood, FL
National Provider Identifier
1861469132
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
036103808 Issued in IL
Practice address
3501 Johnson St
Hollywood, FL 33021-5421
Phone
(954) 987-2000
Fax
(954) 437-6628
NPI assigned
Mar 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X ME95204 FL
Radiation Oncology Physician 2085R0001X 036103808 IL Primary

Addresses

Primary practice location

3501 Johnson St
Hollywood, FL 33021-5421

Mailing address

17333 La Grange Rd
Ste 100
Tinley Park, IL 60487-7510
Phone (708) 448-9393

Other practice location 1

17333 La Grange Rd Ste 100
Tinley Park, IL 60487-7510
Phone (708) 448-9393

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
I20170601001737 IL Practitioner - Radiation Oncology 3173530474 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Rush Medical College of Rush University, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

12251 S 80TH Ave
Palos Heights, IL 60463-1290

15300 W Ave
Orland Park, IL 60462-4600

675 N Saint Clair St
Chicago, IL 60611-5975

675 N St Clair
Chicago, IL 60611-5975

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036103808ILMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwestern Medical Faculty Foundation CurrentSince Aug 2, 2021 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Aug 2, 2021 Accepting new patients
Specialty Physicians of Illinois, LLC CurrentSince Apr 14, 2018 Accepting new patients
Specialty Physicians of Illinois, LLC CurrentSince Apr 14, 2018 Accepting new patients
Radiation Oncology, SC Radiation Oncology Past Accepting new patients

Locations

Dept 5777
Carol Stream, IL 60122

Carol Stream, IL 60122
Phone (630) 933-3300

35318 Eagle Way
Chicago, IL 60678

660 N Westmoreland Rd
#302
Lake Forest, IL 60045

3900 W 203rd St
Olympia Flds, IL 60461
Phone (708) 478-7437

3700 W 203rd St
Ste 301
Olympia Flds, IL 60461
Phone (708) 679-2850

17333 La Grange Rd
Ste 100
Tinley Park, IL 60487
Phone (708) 448-9393

Organizations & group practices 5

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 4

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": "1141430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1861469132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17333 LA GRANGE RD",
            "address_2": "STE 100",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604877510",
            "telephone_number": "708-448-9393",
            "fax_number": "708-448-7530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 JOHNSON ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330215421",
            "telephone_number": "954-987-2000",
            "fax_number": "954-437-6628"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17333 La Grange Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Tinley Park",
            "state": "IL",
            "postal_code": "604877510",
            "country_code": "US",
            "telephone_number": "708-448-9393",
            "fax_number": "708-448-7530",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KARIMPOUR",
        "first_name": "SHERVIN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-04",
        "last_updated": "2023-03-07",
        "certification_date": "2021-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "FL",
            "license": "ME95204",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "IL",
            "license": "036103808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

Verify at the official NPI Registry.