Active NPI
Noman Shahid
- Family Medicine Physician
- Geneva, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 036141987
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 920540 | Other | IL | MEDICARE GROUP |
| 036141987 | Medicaid | IL | |
| F400471909 | Other | IL | MEDICARE 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
Enrollment records 1
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
Practice addresses (Care Compare)
298 Randall Rd
Geneva, IL 60134-4203
Phone (630) 208-3000
Hospital & facility affiliations
- Northwestern Medicine Delnor Community Hospital
- Northwestern Medicine Central Dupage Hospital
- Northwestern Medicine Kishwaukee Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036141987 | IL | MD | Family Medicine Physician |
| 125065174 | IL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwestern Medical Faculty Foundation | Current | Accepting new patients | |
| Mercy Health System Corporation | Current | Accepting new patients | |
| Mercy Health System Corporation | Current | Accepting new patients | |
| Northwestern Medical Faculty Foundation | Current | Accepting new patients | |
| Methodist Medical Center of Illinois | Family Medicine | Current | Accepting new patients |
| Proctor Health Systems | Family Medicine | Current | Accepting new patients |
| Proctor Health Systems | Family Medicine | Current | Accepting new patients |
| Proctor Health Systems | Current | Accepting new patients | |
| Central Dupage Physician Group | Current | Accepting new patients | |
| Central Dupage Physician Group | Family Medicine | Current | Accepting new patients |
| Methodist Medical Center of Illinois | Current | 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.
-
- Family Medicine Physician
- Carol Stream, IL
- NPI 1033149844
-
- Rehabilitation Hospital Unit
- Peoria, IL
- NPI 1982656575
-
- Multi-Specialty Clinic/Center
- Carol Stream, IL
- NPI 1346235314
-
- Family Medicine Physician
- Peoria, IL
- NPI 1134173917
-
- Orthopaedic Surgery Physician
- Geneva, IL
- NPI 1780012344
-
- General Acute Care Hospital
- Peoria, IL
- NPI 1164474755
-
- Family Medicine Physician
- Peoria, IL
- NPI 1184670663
-
- Durable Medical Equipment & Medical Supplies
- Chicago, IL
- NPI 1417718479
-
- Ambulatory Surgical Clinic/Center
- Peoria, IL
- NPI 1720223837
-
- Critical Access Hospital
- Lake Geneva, WI
- NPI 1699728550
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Winfield, IL
- NPI 1003864810
-
- Psychiatric Hospital Unit
- Winfield, IL
- NPI 1740230895
-
- General Acute Care Hospital
- Geneva, IL
- NPI 1407859655
-
- General Acute Care Hospital
- Dekalb, IL
- NPI 1669534517
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2020; 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.