Active NPI
Shetal Amin, MD
- Psychiatry Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 036164120
- Practice address
- 676 N Saint Clair St Ste 1100
Chicago, IL 60611-2954 - Phone
- (312) 695-5060
- Fax
- (312) 695-5010
- NPI assigned
- Mar 21, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 036164120 | IL | Primary |
| Addiction Psychiatry Physician | 2084P0802X | S1334 | TX | |
| Psychiatry Physician | 2084P0800X | S1334 | TX |
Addresses
Primary practice location
676 N Saint Clair St Ste 1100
Chicago, IL 60611-2954
Mailing address
676 N Saint Clair St Ste 1100
Chicago, IL 60611-2954
Phone (312) 695-5060
Other practice location 1
3701 Doty Rd
Woodstock, IL 60098-7509
Phone (312) 695-5060
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, IL, WA, WI, NJ, VA, PA, AZ, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 9
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201230000235 | TX | Practitioner - Psychiatry | 6406269901 | Reassigns benefits to 3 organizations |
| I20231206002022 | IL | Practitioner - Psychiatry | 6406269901 | Reassigns benefits to 6 organizations |
| I20250103001753 | WA | Practitioner - Psychiatry | 6406269901 | Reassigns benefits to 1 organization |
| I20250124000181 | WI | Practitioner - Psychiatry | 6406269901 | Reassigns benefits to 2 organizations |
| I20250306000116 | NJ | Practitioner - Psychiatry | 6406269901 | Reassigns benefits to 1 organization |
| I20250310003490 | VA | Practitioner - Psychiatry | 6406269901 | Reassigns benefits to 1 organization |
| I20250506003002 | PA | Practitioner - Psychiatry | 6406269901 | Reassigns benefits to 1 organization |
| I20250625003948 | AZ | Practitioner - Psychiatry | 6406269901 | Reassigns benefits to 1 organization |
| I20250708003607 | CA | Practitioner - Psychiatry | 6406269901 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Meharry Medical College School of Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
676 N Saint Clair St
Suite 1100
Chicago, IL 60611-2954
Phone (312) 695-5060
Hospital & facility affiliations
- Northwestern Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S1334 | TX | MD | Addiction Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Health System Corporation | Current | Accepting new patients | |
| Forefront-Rush Medical Service PA | Psychiatry | Current | Accepting new patients |
| Central Dupage Physician Group | Current | Accepting new patients | |
| Baylor College of Medicine | Current | Accepting new patients | |
| Mercy Health System Corporation | Current | Accepting new patients | |
| Central Dupage Physician Group | Current | Accepting new patients | |
| Mercy Health System Corporation | Current | Accepting new patients | |
| Northwestern Medical Faculty Foundation | Current | Accepting new patients | |
| Baylor College of Medicine | Current | Accepting new patients | |
| Mercy Health System Corporation | Current | Accepting new patients | |
| Northwestern Medical Faculty Foundation | Current | Accepting new patients | |
| Rockford Health Physicians | Current | Accepting new patients | |
| Access Telecare California, P.C. | Psychiatry | Current | Accepting new patients |
| St. Vincent Hospital | Past | Accepting new patients | |
| Ap US 14, PA | Past | Accepting new patients | |
| Kootenai Health, Inc. | Psychiatry | Past | Accepting new patients |
| Tele-Physicians, P.C. | Psychiatry | Past | Accepting new patients |
| Baylor College of Medicine | Past | Accepting new patients | |
| Shannon Medical Center | Past | Accepting new patients |
Locations (25 of 28)
5700 E Highway 90
Sierra Vista, AZ 85635
Phone (520) 263-2000
400 Old River Rd
Bakersfield, CA 93311
Phone (661) 663-6000
1150 N Indian Canyon Dr
Palm Springs, CA 92262
Phone (760) 323-6251
450 E Romie Ln
Salinas, CA 93901
Phone (831) 372-7844
2020 Genesee Ave
San Diego, CA 92123
Phone (619) 268-9500
13855 E 14th St
San Leandro, CA 94578
Phone (510) 357-6500
825 Delbon Ave
Turlock, CA 95382
Phone (209) 664-2744
Dept 5777
Carol Stream, IL 60122
676 N Saint Clair St
Ste 1100
Chicago, IL 60611
29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652
875 S State Route 31
Crystal Lake, IL 60014
Phone (779) 220-5500
901 Grant St
Harvard, IL 60033
Phone (815) 943-5431
348 S Division St
Harvard, IL 60033
Phone (815) 943-1122
660 N Westmoreland Rd
#302
Lake Forest, IL 60045
2400 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-6310
8201 E Riverside Blvd
Rockford, IL 61114
Phone (815) 971-4066
2300 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-5510
1800 N Main St
Wheaton, IL 60187
Phone (630) 469-0045
3701 Doty Rd
Woodstock, IL 60098
Phone (815) 334-3170
1901 Medi Park Dr
Ste 2058
Amarillo, TX 79106
Phone (806) 354-9540
1901 Medi Park Dr
Ste 219
Amarillo, TX 79106
Phone (806) 356-7744
1717 Main St
Ste 5850
Dallas, TX 75201
Phone (469) 694-5512
1504 Taub Loop
Houston, TX 77030
Phone (713) 873-2860
1502 Taub Loop
Houston, TX 77030
Phone (713) 873-4900
2555 Jimmy Johnson Blvd
Port Arthur, TX 77640
Phone (409) 724-7389
Interoperability endpoints
- samin21946@direct.svmh.com
Organizations & group practices 20
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.
-
- Multi-Specialty Clinic/Center
- Carol Stream, IL
- NPI 1346235314
IL
-
- Internal Medicine Physician
- Dallas, TX
- NPI 1013303080
AZ, IL, NJ, PA, TX, VA, WA, WI
-
- Orthopaedic Surgery Physician
- Geneva, IL
- NPI 1780012344
-
- Durable Medical Equipment & Medical Supplies
- Chicago, IL
- NPI 1417718479
-
- Internal Medicine Physician
- Houston, TX
- NPI 1104867175
-
- General Acute Care Hospital
- Janesville, WI
- NPI 1093768962
Hospital & facility affiliations 1
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": "1490054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1766016000000",
"number": "1982135067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "676 N SAINT CLAIR ST STE 1100",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606112954",
"telephone_number": "312-695-5060",
"fax_number": "312-695-5010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "676 N SAINT CLAIR ST STE 1100",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606112954",
"telephone_number": "312-695-5060",
"fax_number": "312-695-5010"
}
],
"practiceLocations": [
{
"address_1": "3701 Doty Rd",
"address_purpose": "LOCATION",
"city": "Woodstock",
"state": "IL",
"postal_code": "600987509",
"country_code": "US",
"telephone_number": "312-695-5060",
"fax_number": "312-695-5010",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AMIN",
"first_name": "SHETAL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-21",
"last_updated": "2025-12-18",
"certification_date": "2025-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "IL",
"license": "036164120",
"primary": true
},
{
"code": "2084P0802X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Addiction Psychiatry",
"state": "TX",
"license": "S1334",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TX",
"license": "S1334",
"primary": false
}
],
"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 Dec 18, 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.