Individual provider Active NPI

Asher Eliezer Shafrir, MD

  • Gastroenterology Physician
  • Chicago, IL
National Provider Identifier
1952122459
Registry record updated Oct 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
125.084895 Issued in IL
Practice address
5841 S Maryland Ave Ste 1
Chicago, IL 60637-1473
Phone
(773) 702-1846
NPI assigned
Oct 18, 2024
Last updated
Oct 18, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 125.084895 IL Primary

Addresses

Primary practice location

5841 S Maryland Ave Ste 1
Chicago, IL 60637-1473

Mailing address

8918 Pottawattami Dr
Skokie, IL 60076-1908
Phone (773) 885-5554

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
I20250122002008 IL Order and Referring Only - GastroenterologyPractitioner - Gastroenterology 3678002599

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125.084895ILMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The University of Chicago Medical Center PastSince Oct 20, 2024 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1729209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729209600000",
    "number": "1952122459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8918 POTTAWATTAMI DR",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761908",
            "telephone_number": "773-885-5554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5841 S MARYLAND AVE STE 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606371473",
            "telephone_number": "773-702-1846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAFRIR",
        "first_name": "ASHER",
        "middle_name": "ELIEZER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-10-18",
        "last_updated": "2024-10-18",
        "certification_date": "2024-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IL",
            "license": "125.084895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.