Individual provider Active NPI

Noman Shahid

  • Family Medicine Physician
  • Geneva, IL
National Provider Identifier
1992111009
Registry record updated May 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036141987 Issued in IL
Practice address
298 Randall Rd
Geneva, IL 60134
Phone
(630) 938-3300
Fax
(630) 938-3310
NPI assigned
Jul 9, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 125065174 IL
Family Medicine Physician 207Q00000X 036141987 IL Primary

Addresses

Primary practice location

298 Randall Rd
Geneva, IL 60134

Mailing address

298 Randall Rd
Geneva, IL 60134-4220
Phone (630) 938-3300

Other practice location 1

815 Main St Ste A
Peoria, IL 61602-1080
Phone (309) 672-4977

Other practice location 2

635 N Fairbanks Ct
Chicago, IL 60611-5435
Phone (312) 472-3173

Other identifiers 3

IdentifierTypeStateIssuer
920540OtherILMEDICARE GROUP
036141987MedicaidIL
F400471909OtherILMEDICARE INDIVIDUAL

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
I20170803000422 IL Practitioner - Family Practice 8123349818 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Central Dupage Physician GroupGroup PAC ID 5890696231, 1,087 clinicians

Practice addresses (Care Compare)

298 Randall Rd
Geneva, IL 60134-4203
Phone (630) 208-3000

Hospital & facility affiliations

  • Northwestern Medicine Delnor Community Hospital Hospital, Geneva, IL, CCN 140211
  • Northwestern Medicine Central Dupage Hospital Hospital, Winfield, IL, CCN 140242
  • Northwestern Medicine Kishwaukee Hospital Hospital, Dekalb, IL, CCN 140286

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036141987ILMDFamily Medicine Physician
125065174ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwestern Medical Faculty Foundation CurrentSince May 1, 2020 Accepting new patients
Mercy Health System Corporation CurrentSince Sep 8, 2017 Accepting new patients
Mercy Health System Corporation CurrentSince Sep 8, 2017 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince May 1, 2020 Accepting new patients
Methodist Medical Center of Illinois Family Medicine CurrentSince Jul 1, 2017 Accepting new patients
Proctor Health Systems Family Medicine CurrentSince Jul 1, 2017 Accepting new patients
Proctor Health Systems Family Medicine Current Accepting new patients
Proctor Health Systems CurrentSince Jul 1, 2017 Accepting new patients
Central Dupage Physician Group CurrentSince Jul 1, 2018 Accepting new patients
Central Dupage Physician Group Family Medicine CurrentSince Jul 1, 2018 Accepting new patients
Methodist Medical Center of Illinois CurrentSince Jul 1, 2017 Accepting new patients
Methodist Medical Center of Illinois Current Accepting new patients

Locations

Carol Stream, IL 60122
Phone (630) 933-3300

Dept 5777
Carol Stream, IL 60122

29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652

635 N Fairbanks Ct
Chicago, IL 60611
Phone (312) 472-3173

635 N Fairbanks Ct
Fl 1
Chicago, IL 60611
Phone (312) 472-3173

2535 E Washington St
East Peoria, IL 61611
Phone (309) 694-6464

300 Randall Rd
Ste 100
Geneva, IL 60134
Phone (630) 933-3513

298 Randall Rd
Geneva, IL 60134
Phone (630) 938-3300

348 S Division St
Harvard, IL 60033
Phone (815) 943-1122

901 Grant St
Harvard, IL 60033
Phone (815) 943-5431

525 Rockland Rd
Ste 100
Lake Bluff, IL 60044
Phone (847) 475-2273

660 N Westmoreland Rd
#302
Lake Forest, IL 60045

515 Valley View Dr
Ste 201
Moline, IL 61265
Phone (312) 695-0870

1001 Commerce Dr
Ste 105
Oak Brook, IL 60523

15300 West Ave
Ste 20
Orland Park, IL 60462
Phone (708) 460-5550

5401 N Knoxville Ave
Ste 400
Peoria, IL 61614
Phone (309) 691-6610

815 Main St
Ste A1
Peoria, IL 61602

815 Main St
Ste A
Peoria, IL 61602
Phone (309) 672-4986

221 NE Glen Oak Ave
Peoria, IL 61636
Phone (309) 672-4281

3915 Barring Trce
Peoria, IL 61615
Phone (309) 689-3030

8914 N Knoxville Ave
Peoria, IL 61615
Phone (309) 691-9110

1120 E War Memorial Dr
Peoria Hts, IL 61616
Phone (309) 685-1774

1800 N Main St
Wheaton, IL 60187
Phone (630) 469-0045

25 N Winfield Rd
Winfield, IL 60190
Phone (630) 682-1600

Organizations & group practices 12

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 4

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": "1404864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588291200000",
    "number": "1992111009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "298 RANDALL RD",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601344220",
            "telephone_number": "630-938-3300",
            "fax_number": "630-938-3310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "298 RANDALL RD",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "60134",
            "telephone_number": "630-938-3300",
            "fax_number": "630-938-3310"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "815 Main St Ste A",
            "address_purpose": "LOCATION",
            "city": "Peoria",
            "state": "IL",
            "postal_code": "616021080",
            "country_code": "US",
            "telephone_number": "309-672-4977",
            "fax_number": "309-672-2580",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "635 N Fairbanks Ct",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606115435",
            "country_code": "US",
            "telephone_number": "312-472-3173",
            "fax_number": "312-472-3176",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAHID",
        "first_name": "NOMAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-09",
        "last_updated": "2020-05-01",
        "certification_date": "2020-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "125065174",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036141987",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "920540",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036141987",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE INDIVIDUAL",
            "identifier": "F400471909",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Geneva, IL

Sources for this page

Verify at the official NPI Registry.