Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

NIKKI SHAHBAZI MD
NPI 1083295778
Anesthesiology in Park Ridge, IL

Q: What is Nikki Shahbazi's NPI number?

The NPI number for Nikki Shahbazi is 1083295778. It was assigned to this individual provider in the NPPES registry on April 15, 2021.

Q: What is Nikki Shahbazi's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Q: When was this NPI record last updated?

The NPPES record for Nikki Shahbazi was last updated on September 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 45 days 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.

Active since April 15, 2021PECOS Enrolled

1775 DEMPSTER ST, PARK RIDGE, IL 60068(847) 723-2210(847) 723-3532 Get Directions Write a Review

NPPES record last updated: September 9, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 9, 2026, Mar 19, 2026, Jun 24, 2023 and 1 more (4 updates tracked since 2021).

On this page

About Nikki Shahbazi Md NPPES

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

NIKKI SHAHBAZI MD (NPI 1083295778) is an individual anesthesiology provider in Park Ridge, Illinois, licensed in Illinois (036175735) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Chicago, and is a graduate of Rush Medical College Of Rush University (2022).

NPPES Registry Identity

NPI1083295778

Entity TypeIndividualFemale

Primary Taxonomy207L00000X

Provider Legal NameNIKKI SHAHBAZICredential: MD

Location Address1775 DEMPSTER STPark Ridge, IL 60068-1143

Mailing Address29373 Network PlChicago, IL 60673-1293 · (847) 390-5900 · Fax (847) 390-4757

Phone(847) 723-2210

Fax(847) 723-3532

Sole ProprietorNo

Medical School CMSRush Medical College Of Rush UniversityGraduated 2022

Enumeration DateApril 15, 2021

Last NPPES UpdateSeptember 9, 20264 updates tracked since enumeration

NPPES CertifiedSeptember 9, 2026

✔ NPI 1083295778 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians

Taxonomy Code207L00000X

License✔ Licensed in IL · 036175735

Definition

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

1775 DEMPSTER ST, Park Ridge, IL 60068

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Secondary Practice Location 1

Location 1251 E Huron StChicago, IL 60611-2908 · Phone (312) 926-2000

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nikki Shahbazi Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4385109784

PECOS Enrollment IDI20260716002307

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 Nikki Shahbazi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lutheran General Hospital

Same address

Cardiovascular Disease

1775 DEMPSTER ST
Park Ridge, IL 60068

Reassigned Medicare billing, Illinois enrollment
Medicare enrollment name: Advocate Health And Hospitals Corporation
4,870 clinicians in this Medicare group

NPI 1801809306 (847) 723-2210

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

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.

MS. STACEY K VILIONE PA-C

Physician Assistant (Surgical)