Individual provider Active NPI

Ibrahim Shaik, MD

  • Advanced Heart Failure and Transplant Cardiology Physician
  • Park Ridge, IL
National Provider Identifier
1912197831
Registry record updated Jan 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Heart Failure and Transplant Cardiology PhysicianTaxonomy code 207RA0001X
License
036137618 Issued in IL
Practice address
1875 Dempster St Ste 555
Park Ridge, IL 60068-1188
Phone
(847) 698-5500
Fax
(847) 698-5517
NPI assigned
Jul 26, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301090930 MI
Cardiovascular Disease Physician 207RC0000X 036137618 IL
Internal Medicine Physician 207R00000X 082961 CT
Advanced Heart Failure and Transplant Cardiology Physician 207RA0001X 036137618 IL Primary

Addresses

Primary practice location

1875 Dempster St Ste 555
Park Ridge, IL 60068-1188

Mailing address

29373 Network PL
Chicago, IL 60673-1293
Phone (847) 390-5900

Other practice location 1

611 W. Park St.
Hvi
Urbana, IL 61801-2500
Phone (217) 326-8300

Other practice location 2

540 Litchfield St
Torrington, CT 06790-6679
Phone (972) 449-0540

Electronic endpoints 2

TypeEndpointUseAffiliation
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
Direct Messaging Address ishaik387466@direct.myadvocateaurora.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, AR, TX, VA, IN, MT, CT7 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 7

Enrollment IDStateProvider typePAC IDDetails
I20160822001987 IL Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology)Practitioner - Advanced Heart Failure and Transplant Cardiology 7517154479 Reassigns benefits to 7 organizations
I20250402003629 AR Practitioner - Internal Medicine 7517154479 Reassigns benefits to 1 organization
I20250403003861 TX Practitioner - Internal Medicine 7517154479 Reassigns benefits to 1 organization
I20250409002686 VA Practitioner - Internal Medicine 7517154479 Reassigns benefits to 1 organization
I20250409003519 IN Practitioner - Internal Medicine 7517154479 Reassigns benefits to 1 organization
I20250915000540 MT Practitioner - Internal Medicine 7517154479 Reassigns benefits to 1 organization
I20250923001944 CT Practitioner - Internal Medicine 7517154479 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Access Telecare PLLCGroup PAC ID 7810204831, 409 clinicians
Carle Health Care IncorporatedGroup PAC ID 3577515774, 1,592 clinicians
Advocate Health and Hospitals CorporationGroup PAC ID 7810800935, 3,081 clinicians
Hoopeston Community Memorial HospitalGroup PAC ID 3577456037, 142 clinicians

Practice addresses (Care Compare)

Spring, TX 77382
Phone (972) 449-0540

Shenandoah, TX 77384
Phone (972) 449-0540

San Antonio, TX 78255
Phone (972) 449-0540

10855 Virginia St
Crown Point, IN 46307-0210
Phone (972) 449-0540

115 Airport Rd
Sulphur Springs, TX 75482-2105
Phone (972) 449-0540

1540 E Grove Ave
Rantoul, IL 61866-2736
Phone (217) 893-7700

1701 W Curtis Rd
Champaign, IL 61822-9678
Phone (217) 365-6200

1818 E Windsor Rd
Urbana, IL 61802-9566
Phone (217) 255-9500

1875 Dempster St
Suite 555
Park Ridge, IL 60068-1188
Phone (847) 698-5500

20 York St
New Haven, CT 06510-3220
Phone (972) 449-0540

200 Hospital Dr
Galax, VA 24333-2227
Phone (972) 449-0540

2026 S Jackson St
Jacksonville, TX 75766-5822
Phone (972) 449-0540

2200 N Section St
Sullivan, IN 47882-7523
Phone (972) 449-0540

3066 Valleybrook CT
Newburgh, IN 47630-2682
Phone (972) 449-0540

5116 N College Ave
Indianapolis, IN 46205-1136
Phone (972) 449-0540

516 W Madison St
Danville, IL 61832-5657

611 W Park St
Urbana, IL 61801-2500

611 W Park St
Urbana, IL 61801-2501
Phone (888) 712-2753

701 E Orange St
Hoopeston, IL 60942-1801
Phone (217) 283-5531

850 Ed Hall Dr
Kaufman, TX 75142-1861
Phone (972) 449-0540

Hospital & facility affiliations

  • Advocate Lutheran General Hospital Hospital, Park Ridge, IL, CCN 140223
  • Carle Foundation Hospital Hospital, Urbana, IL, CCN 140091
  • Advocate Illinois Masonic Medical Center Hospital, Chicago, IL, CCN 140182
  • Northshore University Healthsystem - Evanston Hospital Hospital, Evanston, IL, CCN 140010
  • Advocate Sherman Hospital Hospital, Elgin, IL, CCN 140030

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
082961CTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Access Telecare, PLLC Internal Medicine CurrentSince Apr 2, 2024 Accepting new patients
Elevated Echo LLC CurrentSince Dec 1, 2025 Accepting new patients
Advocate Health & Hospitals Corp. CurrentSince Dec 1, 2023 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Dec 1, 2023 Accepting new patients
Hoopeston Community Memorial Hospital Current Accepting new patients
Advocate Health and Hospitals Corporation Current Accepting new patients
Richland Memorial Hospital, Inc Current Accepting new patients
Carle Health Care Incorporated Internal Medicine CurrentSince Aug 2, 2016 Accepting new patients
Hoopeston Community Memorial Hospital CurrentSince Aug 2, 2016 Accepting new patients
Hoopeston Community Memorial Hospital Internal Medicine CurrentSince Aug 2, 2016 Accepting new patients
Kirby Medical Center CurrentSince Aug 1, 2016 Accepting new patients
Richland Memorial Hospital, Inc CurrentSince Apr 1, 2020 Accepting new patients
Kirby Medical Center CurrentSince Aug 1, 2016 Accepting new patients
Richland Memorial Hospital, Inc CurrentSince Apr 1, 2020 Accepting new patients
Gibson Community Hospital Association Past Accepting new patients

Locations

20 York St
North Haven, CT 06510
Phone (203) 688-2433

540 Litchfield St
Torrington, CT 06790
Phone (860) 496-6361

214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160

29373 Network Pl
Chicago, IL 60673

701 E Orange St
Hoopeston, IL 60942
Phone (217) 283-5531

1000 Medical Center Dr
Monticello, IL 61856
Phone (217) 762-1540

900 E Scott St
Olney, IL 62450
Phone (618) 345-1000

1875 W Dempster St
Ste 555
Park Ridge, IL 60068
Phone (847) 698-5500

1201 Ricker Rd
Salem, IL 62881
Phone (618) 548-3194

611 W Park St
Urbana, IL 61801
Phone (217) 383-6941

20171 Chasewood Park Dr
Houston, TX 77070
Phone (713) 355-1000

2555 Jimmy Johnson Blvd
Port Arthur, TX 77640
Phone (409) 724-7389

Interoperability endpoints

  • Direct secure messaging: ishaik234964@direct.hfhs.org
  • Direct secure messaging: ishaik387466@direct.myadvocateaurora.org

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 7

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": "1185408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768867200000",
    "number": "1912197831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29373 NETWORK PL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606731293",
            "telephone_number": "847-390-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1875 DEMPSTER ST STE 555",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681188",
            "telephone_number": "847-698-5500",
            "fax_number": "847-698-5517"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "611 W. Park St.",
            "address_2": "HVI",
            "address_purpose": "LOCATION",
            "city": "Urbana",
            "state": "IL",
            "postal_code": "618012500",
            "country_code": "US",
            "telephone_number": "217-326-8300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "540 LITCHFIELD ST",
            "address_purpose": "LOCATION",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067906679",
            "country_code": "US",
            "telephone_number": "972-449-0540",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAIK",
        "first_name": "IBRAHIM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-26",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301090930",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036137618",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "082961",
            "primary": false
        },
        {
            "code": "207RA0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Advanced Heart Failure and Transplant Cardiology",
            "state": "IL",
            "license": "036137618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "1875 Dempster St Ste 555",
            "city": "Park Ridge",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600681188",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ishaik387466@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1875 Dempster St Ste 555",
            "city": "Park Ridge",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600681188",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Park Ridge, IL

Sources for this page

Verify at the official NPI Registry.