Shadi Marina, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

FM1299038 Issued in IL

Practice address

1401 E State St
Rockford, IL 61104-2315

Phone

(815) 968-4400

NPI assigned

Jun 21, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

HospitalistAlso: Internal Medicine

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Freeport Memorial HospitalGroup PAC ID 8426958232, 168 clinicians

Premier Health Consultants IncGroup PAC ID 1456660323, 4 clinicians

Rockford Hospitalist Group LLCGroup PAC ID 9830559491, 41 clinicians

Cook Physician Services, P.C.Group PAC ID 4082053434, 59 clinicians

Rochelle Community Hospital AssociationGroup PAC ID 4789581828, 27 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Uw Health Hospital, Rockford, IL, CCN 140228
• Rochelle Community Hospital Hospital, Rochelle, IL, CCN 141312
• Alexian Brothers Medical Center 1 Hospital, Elk Grove Village, IL, CCN 140258
• St Alexius Medical Center Hospital, Hoffman Estates, IL, CCN 140290
• Saint Anthony Medical Center Hospital, Rockford, IL, CCN 140233

Merit-based Incentive Payment System (MIPS)

Final score

65.14 of 100Reported as individual

Quality

85.58

Improvement activities

0

Cost

76.99

Merit-based Incentive Payment System (MIPS)

Final score

91.05 of 100Reported as apm

Quality

72.1

Promoting interoperability

100

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

87.08 of 100Reported as group

Quality

86.25

Improvement activities

40

Cost

77.17

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Cook Physician Services, P.C.

  • Internal Medicine Physician
  • Evanston, IL
  • NPI 1487416376

  IL, Internal Medicine

  Medicare reassignment Care Compare group NPD
• Freeport Memorial Hospital

  • General Acute Care Hospital
  • Freeport, IL
  • NPI 1447228788

  IL

  Medicare reassignment Care Compare group NPD
• Premier Health Consultants Inc

  • Internal Medicine Physician
  • Hoffman Estates, IL
  • NPI 1205202009

  IL, Internal Medicine, WI

  Medicare reassignment Care Compare group NPD
• Rochelle Community Hospital Association

  • Family Medicine Physician
  • Rochelle, IL
  • NPI 1568518322

  IL

  Medicare reassignment Care Compare group NPD
• Rochelle Community Hospital Association

  • Critical Access Hospital
  • Rochelle, IL
  • NPI 1821053216

  IL

  Medicare reassignment Care Compare group NPD
• Rockford Hospitalist Group, LLC

  • Hospitalist Physician
  • Rockford, IL
  • NPI 1750088852

  IL

  Medicare reassignment Care Compare group NPD
• Cogent Healthcare of Illinois, LLC

  • Internal Medicine Physician
  • Quincy, IL
  • NPI 1487897849

  IL, Internal Medicine

  Medicare reassignment NPD
• Inpatient Consultants of Illinois, P.C.

  • Hospitalist Physician
  • Hinsdale, IL
  • NPI 1548442569

  IL, Internal Medicine

  Medicare reassignment NPD
• Insight Chicago, Inc.

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1881261006

  IL, Internal Medicine

  Medicare reassignment NPD
• Beloit Health System Inc

  • General Practice Physician
  • Beloit, WI
  • NPI 1679616361

  Internal Medicine, WI

  Medicare reassignment NPD
• Sound Physicians of Illinois, LLC

  • Hospitalist Physician
  • Bridgeton, MO
  • NPI 1043598865

  IL, Internal Medicine

  Medicare reassignment NPD
• Marina Health Care Consultants Inc

  • Internal Medicine Physician
  • Rockford, IL
  • NPI 1548014566

  Internal Medicine

  NPD Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Alexian Brothers Medical Center

  • General Acute Care Hospital
  • Elk Grove Village, IL
  • NPI 1265577191

  Hospital

  Care Compare affiliation
• Rochelle Community Hospital Association

  • Critical Access Hospital
  • Rochelle, IL
  • NPI 1821053216

  Hospital

  Care Compare affiliation
• Saint Anthony Medical Center

  • General Acute Care Hospital
  • Rockford, IL
  • NPI 1790739977

  Hospital

  Care Compare affiliation
• St. Alexius Medical Center

  • General Acute Care Hospital
  • Hoffman Estates, IL
  • NPI 1376644385

  Hospital

  Care Compare affiliation
• Swedishamerican Hospital

  • General Acute Care Hospital
  • Rockford, IL
  • NPI 1760542732

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1214006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252972800000",
    "number": "1972764041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6526 SPRING BROOK RD APT 306",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611148130",
            "telephone_number": "847-708-5156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 E STATE ST",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611042315",
            "telephone_number": "815-968-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARINA",
        "first_name": "SHADI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-21",
        "last_updated": "2009-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "FM1299038",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "JWA402M64951",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nameer Mardini, MD, MPH
• Gail Marie Marich, NP
• Ernesto Marin
• Paula Marin, CNM
• Marina Health Care Consultants Inc
• Mark a. Milani D.D.S. PC
• Mark L. Lundine M.D. P.C.
• Alexis Markley
• Irena Markovic, M.D.
• Tijana Markovic, OD

• All providers in Rockford, IL
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2009; 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.