Active NPI
Kevin Shi
- Interventional Pain Medicine Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- 036162984
- Practice address
- 1725 W Harrison St Ste 550
Chicago, IL 60612-3846 - Phone
- (312) 942-6631
- NPI assigned
- Mar 24, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 036162984 | IL | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 036162984 | IL | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Interventional Pain Medicine Physician | 208VP0014X | 036162984 | IL | Primary |
Addresses
Primary practice location
1725 W Harrison St Ste 550
Chicago, IL 60612-3846
Mailing address
1725 W Harrison St Ste 550
Chicago, IL 60612-3846
Phone (312) 942-6631
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
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1653 W Congress Pkwy
Chicago, IL 60612-3833
Phone (312) 942-3138
1725 W Harrison St
Suite 550
Chicago, IL 60612-3846
Phone (312) 942-6631
Hospital & facility affiliations
- Rush University Medical Center
- Rush Oak Park Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Anesthesiologists SC | Anesthesiology | Current | Accepting new patients |
| University Pain Physicians LLC | Interventional Pain Medicine | Current | Accepting new patients |
| Loyola University Medical Center | Interventional Pain Medicine | Current | Accepting new patients |
| Rush University Medical Group | Past | Accepting new patients |
Locations
1725 W Harrison St
Ste 550
Chicago, IL 60612
Phone (312) 942-6631
1653 W Congress Pkwy
Ste 739
Chicago, IL 60612
Phone (312) 942-3134
1653 W Congress Pkwy
Chicago, IL 60612
Phone (312) 942-3138
520 S Maple Ave
Oak Park, IL 60304
Phone (708) 383-9300
2450 Wolf Rd
Ste D
Westchester, IL 60154
Phone (708) 483-7007
Interoperability endpoints
- kshi114642@uihealth.direct-ci.com
- kshi168247@direct.luhs.org
Organizations & group practices 4
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.
-
- Anesthesiology Physician
- Chicago, IL
- NPI 1073558136
-
- Interventional Pain Medicine Physician
- Chicago, IL
- NPI 1518355239
-
- General Acute Care Hospital
- Maywood, IL
- NPI 1376521575
Interventional Pain Medicine
-
- Internal Medicine Physician
- Chicago, IL
- NPI 1093819542
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Oak Park, IL
- NPI 1558391706
-
- Children's Hospital
- Chicago, IL
- NPI 1801908728
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1932213600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756080000000",
"number": "1922635697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1725 W HARRISON ST STE 550",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606123846",
"telephone_number": "312-942-6631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1725 W HARRISON ST STE 550",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606123846",
"telephone_number": "312-942-6631"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHI",
"first_name": "KEVIN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-03-24",
"last_updated": "2025-08-25",
"certification_date": "2025-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "IL",
"license": "036162984",
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "IL",
"license": "036162984",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "IL",
"license": "036162984",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.