Individual provider Active NPI

Nikhil J Shastri, MD

  • Gastroenterology Physician
  • Des Plaines, IL
National Provider Identifier
1871671271
Registry record updated Sep 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
036136083 Issued in IL
Practice address
900 Rand Rd Ste 120
Des Plaines, IL 60016-2359
Phone
(312) 767-3244
NPI assigned
Nov 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 036136083 IL Primary
Gastroenterology Physician 207RG0100X 01092945A IN

Addresses

Primary practice location

900 Rand Rd Ste 120
Des Plaines, IL 60016-2359

Mailing address

1400 S Michigan Ave Apt 1203
Chicago, IL 60605-3720
Phone (312) 767-3244

Other practice location 1

11104 Parkview Circle Dr Ste 310
Fort Wayne, IN 46845-1733
Phone (260) 266-5230

Other practice location 2

15300 West Ave Ste 210
Orland Park, IL 60462-4686
Phone (708) 226-2870

Electronic endpoints 3

TypeEndpointUseAffiliation
FHIR URL https://epicprod-mobile.parkview.com/FHIR/api/FHIR/DSTU2/
Direct Messaging Address nshastri653021@Direct.Parkviewexchange.com
FHIR URL https://epicprod-mobile.parkview.com/FHIR/api/FHIR/R4/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150317002409 IL Practitioner - GastroenterologyPractitioner - Internal Medicine 3476613167 Reassigns benefits to 4 organizations
I20240404000556 IN Practitioner - Gastroenterology 3476613167 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Parkview Health System IncGroup PAC ID 2163336967, 1,350 clinicians
Adventist Health Partners, Inc.Group PAC ID 0244135762, 253 clinicians
Northwestern Medical Faculty FoundationGroup PAC ID 4587576814, 4,386 clinicians
Midwest Digestive Health and Nutrition, PLLCGroup PAC ID 2769830389, 25 clinicians

Practice addresses (Care Compare)

11104 Parkview Circle Dr
Fort Wayne, IN 46845-1672
Phone (206) 266-5400

11104 Parkview Circle Dr
Fort Wayne, IN 46845-1733

11109 Parkview Plaza Dr
Fort Wayne, IN 46845-1701
Phone (260) 425-6030

11115 Parkview Plaza Dr
Fort Wayne, IN 46845-1701
Phone (260) 672-6443

120 N Oak St
Hinsdale, IL 60521-3829
Phone (630) 856-2218

15300 W Ave
Suite 210
Orland Park, IL 60462-4686
Phone (708) 226-2870

900 Rand Rd
Suite 120
Des Plaines, IL 60016-2359
Phone (312) 767-3244

Hospital & facility affiliations

  • Uchicago Medicine Adventhealth Hinsdale Hospital, Hinsdale, IL, CCN 140122
  • Parkview Regional Medical Center Hospital, Fort Wayne, IN, CCN 150021
  • St Alexius Medical Center Hospital, Hoffman Estates, IL, CCN 140290
  • Palos Community Hospital Hospital, Palos Heights, IL, CCN 140062

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy132
Upper gastrointestinal (GI) endoscopy for acid reflux385

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036136083ILMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Loyola University Medical Center Current Accepting new patients
The Board of Trustees of the University of Illinois Gastroenterology CurrentSince Jul 30, 2014 Accepting new patients
Adventist Health Partners, Inc. CurrentSince Jul 1, 2025 Accepting new patients
The Board of Trustees of the University of Illinois CurrentSince Jul 30, 2014 Accepting new patients
Parkview Health System Inc Current Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Apr 1, 2024 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Apr 1, 2024 Accepting new patients
Adventist Health Partners,Inc CurrentSince Jul 1, 2025 Accepting new patients
Parkview Health System,Inc. Gastroenterology CurrentSince Mar 29, 2024 Accepting new patients
Midwest Digestive Health & Nutrition, PLLC Gastroenterology CurrentSince Oct 13, 2023 Accepting new patients
The Board of Trustees of the University of Illinois Current Accepting new patients
Adventist Health Partners,Inc Past Accepting new patients

Locations

396 Remington Blvd
Ste 231
Bolingbrook, IL 60440
Phone (630) 312-4301

Dept 5777
Carol Stream, IL 60122

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

7732 Solutions Ctr
Chicago, IL 60677

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

900 Rand Rd
Ste 120
Des Plaines, IL 60016
Phone (312) 623-8993

950 N York Rd
Ste 101
Hinsdale, IL 60521
Phone (312) 767-3244

500 W Court St
Kankakee, IL 60901
Phone (800) 585-4119

5101 Willow Springs Rd
Lagrange Hlds, IL 60525
Phone (708) 245-4073

660 N Westmoreland Rd
#302
Lake Forest, IL 60045

2160 S 1st Ave
Maywood, IL 60153
Phone (708) 216-4400

515 Valley View Dr
Ste 201
Moline, IL 61265
Phone (312) 695-0870

120 N Oak St
Oak Brook Mall, IL 60521
Phone (630) 856-6700

15300 West Ave
Ste 210
Orland Park, IL 60462
Phone (708) 226-2870

11109 Parkview Plaza Dr
#117
Fort Wayne, IN 46845
Phone (260) 266-6012

11104 Parkview Circle Dr
Ste 310
Fort Wayne, IN 46845
Phone (260) 266-5230

240 S Jefferson St
Ste B
Huntington, IN 46750
Phone (219) 259-0000

Interoperability endpoints

  • Direct secure messaging: nshastri653021@direct.parkviewexchange.com
  • Direct secure messaging: snikhil79513@direct.luhs.org

Organizations & group practices 12

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 6

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": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725321600000",
    "number": "1871671271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 S MICHIGAN AVE APT 1203",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606053720",
            "telephone_number": "312-767-3244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 RAND RD STE 120",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600162359",
            "telephone_number": "312-767-3244"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11104 Parkview Circle Dr Ste 310",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468451733",
            "country_code": "US",
            "telephone_number": "260-266-5230",
            "fax_number": "260-458-5972",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15300 West Ave Ste 210",
            "address_purpose": "LOCATION",
            "city": "Orland Park",
            "state": "IL",
            "postal_code": "604624686",
            "country_code": "US",
            "telephone_number": "708-226-2870",
            "fax_number": "708-226-2315",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHASTRI",
        "first_name": "NIKHIL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IL",
            "license": "036136083",
            "primary": true
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IN",
            "license": "01092945A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicprod-mobile.parkview.com/FHIR/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "11104 Parkview Circle Dr Ste 310",
            "city": "Fort Wayne",
            "state": "IN",
            "country_code": "US",
            "postal_code": "468451733",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nshastri653021@Direct.Parkviewexchange.com",
            "affiliation": "N",
            "address_1": "11104 Parkview Circle Dr Ste 310",
            "city": "Fort Wayne",
            "state": "IN",
            "country_code": "US",
            "postal_code": "468451733",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicprod-mobile.parkview.com/FHIR/api/FHIR/R4/",
            "affiliation": "N",
            "address_1": "11104 Parkview Circle Dr Ste 310",
            "city": "Fort Wayne",
            "state": "IN",
            "country_code": "US",
            "postal_code": "468451733",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Des Plaines, IL

Sources for this page

Verify at the official NPI Registry.