Karina Shah Gobin, M.D.

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

64046 Issued in WI

Practice address

675 W North Ave Ste 310
Melrose Park, IL 60160-1606

Phone

(708) 450-5054

Fax

(708) 450-9088

NPI assigned

Jun 20, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IL, WI2 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

Specialty

Allergy/Immunology

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Rachna Shah MD SCGroup PAC ID 3375708258, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kgobin97764@direct.luhs.org

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.

• Rachna Shah MD SC

  • Allergy & Immunology Physician
  • Melrose Park, IL
  • NPI 1942578703
  Medicare reassignment Care Compare group NPD
• The Medical College of Wisconsin, Inc.

  • Internal Medicine Physician
  • Milwaukee, WI
  • NPI 1699720086

  Allergy & Immunology

  Medicare reassignment NPD
• Loyola University Medical Center

  dba Foster G. McGaw Hospital

  • General Acute Care Hospital
  • Maywood, IL
  • NPI 1376521575
  NPD
• JG Leija MD Faca LTD

  • Allergy Physician
  • Melrose Park, IL
  • NPI 1952469579

  Allergy & Immunology

  NPD (past)

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

{
    "created_epoch": "1308528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547596800000",
    "number": "1962798801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 W NORTH AVE STE 310",
            "city": "MELROSE PARK",
            "state": "IL",
            "postal_code": "601601606",
            "telephone_number": "708-450-5054",
            "fax_number": "705-450-5054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 W NORTH AVE STE 310",
            "city": "MELROSE PARK",
            "state": "IL",
            "postal_code": "601601606",
            "telephone_number": "708-450-5054",
            "fax_number": "708-450-9088"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1140 Lake St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Oak Park",
            "state": "IL",
            "postal_code": "603011052",
            "country_code": "US",
            "telephone_number": "708-450-5054",
            "fax_number": "708-450-9088",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOBIN",
        "first_name": "KARINA",
        "middle_name": "SHAH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-20",
        "last_updated": "2019-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WI",
            "license": "64046",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "125-060259",
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "WI",
            "license": "64046",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1962798801",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1962798801",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joanna Giordano, MA, LPC, QMHP
• Kundan Giri, M.D
• Minal Giri, M.D.
• Niranjana K Giri, M.D.
• Gisela Alamo PLLC
• Mary Carol Gockman, MHS
• James J Gomez, MD
• Nayely Gomez
• Brenda Gonzalez, RN, BSN
• Sarah L Goodfellow, PHARMD

• Allergy & Immunology Physician in Melrose Park, IL
• Providers in Melrose Park, IL by specialty
• Allergy & Immunology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2019; 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.

Verify at the official NPI Registry.