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SHAWN GULATI MD
NPI 1083108070
Ophthalmology in Chicago, IL

Active since June 21, 2018PECOS EnrolledAccepts Medicare Assignment
92.06/100
CMS Quality Rating
4646 N MARINE DR, CHICAGO, IL 60640(773) 574-7400 Get Directions Write a Review

NPPES record last updated: June 15, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 18, 2022, Jun 21, 2018 (2 updates tracked since 2018).

About Shawn Gulati Md NPPES

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

SHAWN GULATI MD (NPI 1083108070) is an individual ophthalmology provider in Chicago, Illinois, licensed in Utah (12644826-1205) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS, is affiliated with Northwestern Memorial Hospital, and is a graduate of Oakland Univ, William Beaumont School Of Medicine (2018).

NPPES Registry Identity

NPI1083108070
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameSHAWN GULATICredential: MD
Location Address4646 N MARINE DRChicago, IL 60640-5759
Mailing Address4646 N Marine DrChicago, IL 60640-5759
Phone(773) 574-7400
Sole ProprietorNo
Medical School CMSOakland Univ, William Beaumont School Of MedicineGraduated 2018
Enumeration DateJune 21, 2018
Last NPPES UpdateJune 15, 20222 updates tracked since enumeration
NPPES CertifiedJune 15, 2022
✔ NPI 1083108070 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in UT · 12644826-1205
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Also ListedInternal MedicineTaxonomy 207R00000X · License 125.072098 (IL)
4646 N MARINE DR, Chicago, IL 60640
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shawn Gulati Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5698028215
PECOS Enrollment IDI20240219001680
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.

Areas of Expertise CMS Part B claims 11

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
516 services383 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
130 services130 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
98 services49 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
92 services92 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
84 services78 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
75 services71 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northwestern Memorial Hospital

Acute Care Hospitals · Chicago, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140281
Location251 E Huron StChicago, IL 60611 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60640 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
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

92.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.57
Promoting Interoperability100
Improvement Activities40

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.

ANAYASH BHATTARAI MD
Internal Medicine
4646 N MARINE DR
CHICAGO, IL 60640
Cook County (773) 564-5225
AMRO ABBAS TAHA
Internal Medicine
4646 N MARINE DR
CHICAGO, IL 60640
Cook County (177) 391-2073
SHAMEEM SULTANA MD
Anesthesiology
4646 N MARINE DR
CHICAGO, IL 60640
Cook County (773) 564-5966
WEISS MEMORIAL HOSPITAL
Chronic Disease Hospital
4646 N MARINE DR
CHICAGO, IL 60640
Cook County (312) 622-7977
JOHN CHERF MD SC
Orthopaedic Surgery
4646 N MARINE DR, SUITE 3A
CHICAGO, IL 60640
Cook County (800) 843-0355
DR. MICHELE MARIE DELSIGNORE D.O.
Psychiatry & Neurology (Neurology)
4646 N MARINE DR
CHICAGO, IL 60640
Cook County (773) 564-5216
MRS. LAINIE JOY O'DONNELL MA, CCC-SLP
Speech-Language Pathologist
4646 N MARINE DR, OUTPATIENT PHYSICAL THERAPY DEPT. 1ST FLOOR
CHICAGO, IL 60640
Cook County (773) 564-5425
DR. MOHAMMED OMAR JAHANGIR M.D.
Internal Medicine
4646 N MARINE DR
CHICAGO, IL 60640
Cook County (773) 564-5225

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 Shawn Gulati's NPI number?

The NPI number for Shawn Gulati is 1083108070. It was assigned to this individual provider in the NPPES registry on June 21, 2018.

Where is Shawn Gulati located?

Shawn Gulati practices at 4646 N Marine Dr, Chicago, IL 60640. The listed phone number is (773) 574-7400.

What is Shawn Gulati's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Shawn Gulati enrolled in Medicare?

Yes. Shawn Gulati is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Shawn Gulati affiliated with any hospitals?

According to CMS data, Shawn Gulati is affiliated with Northwestern Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Shawn Gulati was last updated on June 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.