Individual provider Active NPI

Kevin Shi

  • Interventional Pain Medicine Physician
  • Chicago, IL
National Provider Identifier
1922635697
Registry record updated Aug 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
036162984 Issued in IL
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

Updated by the provider on Aug 25, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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 IL2 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
I20250721001384 IL Practitioner - AnesthesiologyPractitioner - Interventional Pain Management 6406279595 Reassigns benefits to 1 organization
I20250805001996 IL Practitioner - Interventional Pain Management 6406279595 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Interventional Pain Management
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Anesthesiologists SCGroup PAC ID 4183512080, 152 clinicians
University Pain Physicians LLCGroup PAC ID 3274851944, 9 clinicians

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 Hospital, Chicago, IL, CCN 140119
  • Rush Oak Park Hospital Hospital, Oak Park, IL, CCN 140063

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University Anesthesiologists SC Anesthesiology CurrentSince Jun 1, 2025 Accepting new patients
University Pain Physicians LLC Interventional Pain Medicine CurrentSince Jul 1, 2025 Accepting new patients
Loyola University Medical Center Interventional Pain Medicine Current Accepting new patients
Rush University Medical Group PastSince Mar 1, 2020 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

  • Direct secure messaging: kshi114642@uihealth.direct-ci.com
  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.