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DR. NIVA SHAKYA M.D.
NPI 1073829933
Pediatrics in Chicago, IL

Active since August 29, 2010PECOS Enrolled
1900 W POLK ST, CHICAGO, IL 60612(312) 864-4505 Get Directions Write a Review

NPPES record last updated: August 29, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Niva Shakya M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. NIVA SHAKYA M.D. (NPI 1073829933) is an individual pediatrics provider in Chicago, Illinois, licensed in Illinois (125056869) and active in the NPI registry since August 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073829933
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. NIVA SHAKYACredential: M.D.
Location Address1900 W POLK STChicago, IL 60612-3723
Mailing Address300 S Maple Ave, Apt No. D5Oak Park, IL 60302-3469 · (773) 941-3962
Phone(312) 864-4505
Sole ProprietorNo
Enumeration DateAugust 29, 2010
✔ NPI 1073829933 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in IL · 125056869
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1900 W POLK ST, Chicago, IL 60612
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Other Identifiers 1

OtherXOH842983751IL · Hmo

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Niva Shakya M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Niva Shakya reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Samuel U. Rodgers Health Center, Inc
375 mi
Federally Qualified Health Center (FQHC)
2309 AULL LN
Lexington, MO 64067
  • Reassigned Medicare billing, Missouri enrollment
  • 78 clinicians in this Medicare group
NPI 1982002549 (660) 259-4391

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60612 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. CARMENCITA GARCIA SENSENG MD
Pathology (Anatomic Pathology & Clinical Pathology)
1900 W POLK ST
CHICAGO, IL 60612
Cook County (312) 864-7561
DR. REBECCA BOWER-LEWIS M.D.
Emergency Medicine
1900 W POLK ST, SUITE 1053
CHICAGO, IL 60612
Cook County (312) 864-0060
JOHN STROGER JR. HOSPITAL OF THE COOK COUNTY
General Acute Care Hospital
1900 W POLK ST, DEPT OF EM 10TH FLOOR
CHICAGO, IL 60612
Cook County (312) 864-0060
SARAH AHMED CRNA
Nurse Anesthetist, Certified Registered
1900 W POLK ST
CHICAGO, IL 60612
Cook County (312) 864-0452
MS. JENNIFER MARY DUFF APN
Nurse Practitioner (Pediatrics)
1900 W POLK ST, 1143
CHICAGO, IL 60612
Cook County (312) 864-4150
DR. MATTHEW Y RHEE M.D.
Emergency Medicine
1900 W POLK ST, DEPARTMENT OF EMERGENCY MEDICINE
CHICAGO, IL 60612
Cook County (312) 864-0062
IRENE STEPHANIE ALEXANDRA ALUEN METZNER M.D.
Internal Medicine
1900 W POLK ST
CHICAGO, IL 60612
Cook County (312) 864-4462
PETER M THOMPSON M.D.
Emergency Medicine
1900 W POLK ST, 10TH FLOOR DEPT OF EMERGENCY MEDICINE
CHICAGO, IL 60612
Cook County (312) 864-0062

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Niva Shakya's NPI number?

The NPI number for Niva Shakya is 1073829933. It was assigned to this individual provider in the NPPES registry on August 29, 2010.

Where is Niva Shakya located?

Niva Shakya practices at 1900 W Polk St, Chicago, IL 60612. The listed phone number is (312) 864-4505.

What is Niva Shakya's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Niva Shakya enrolled in Medicare?

Yes. Niva Shakya is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Niva Shakya's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Niva Shakya reassigns Medicare benefits to Samuel U. Rodgers Health Center, Inc (Lexington, MO). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Niva Shakya's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Niva Shakya accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 4 other insurers list Niva Shakya as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Niva Shakya was last updated on August 29, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.