MS. GHAZAL SHAFIEI M.D.
NPI 1093036188
Emergency Medicine in Chicago, IL

Active since June 13, 2010PECOS EnrolledAccepts Medicare Assignment
1900 W POLK ST, CHICAGO, IL 60612(312) 864-0060 Get Directions Write a Review

NPPES record last updated: January 25, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ms. Ghazal Shafiei M.d. NPPES

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

MS. GHAZAL SHAFIEI M.D. (NPI 1093036188) is an individual emergency medicine provider in Chicago, Illinois, licensed in Illinois (036.131913) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS, is affiliated with Advocate Trinity Hospital, and maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1093036188
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameMS. GHAZAL SHAFIEICredential: M.D.
Location Address1900 W POLK STChicago, IL 60612-3723
Mailing Address1900 W Polk StChicago, IL 60612-3723 · (312) 864-0060
Sole ProprietorYes
Medical School CMSWashington University School Of MedicineGraduated 2009
Enumeration DateJune 13, 2010
Last NPPES UpdateJanuary 25, 2024
NPPES CertifiedJanuary 25, 2024
✔ NPI 1093036188 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in IL · 036.131913✔ Licensed in IL · 125057230
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1900 W POLK ST, Chicago, IL 60612

Secondary Practice Location 1

Location 12320 E 93rd StChicago, IL 60617-3909 · Phone (773) 967-5430 · Fax (773) 967-4205

Other Identifiers 1

Medicaid100247166WI

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Ghazal Shafiei M.d. 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 ID9830339621
PECOS Enrollment IDI20231025000576
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 Reassignments

2

Medicare enrollment records show Ghazal Shafiei reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Medicine
3435 W VAN BUREN ST
Chicago, IL 60624
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Advocate Health And Hospitals Corporation
  • 4,870 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
3301 W FOREST HOME AVE
Milwaukee, WI 53215
  • Reassigned Medicare billing, Wisconsin enrollment
  • 4,609 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims 4

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
167 services166 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
109 services109 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
24 services24 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Advocate Trinity Hospital

Acute Care Hospitals · Chicago, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140048
Location2320 E 93rd StChicago, IL 60617 · Cook County
Emergency services Birthing friendly

Advocate Lutheran General Hospital

Acute Care Hospitals · Park Ridge, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140223
Location1775 Dempster StPark Ridge, IL 60068 · Cook County
Emergency services Birthing friendly

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.

Pathology (Anatomic Pathology & Clinical Pathology)
1900 W POLK ST
CHICAGO, IL 60612
Emergency Medicine
1900 W POLK ST, SUITE 1053
CHICAGO, IL 60612
General Acute Care Hospital
1900 W POLK ST, DEPT OF EM 10TH FLOOR
CHICAGO, IL 60612
Nurse Anesthetist, Certified Registered
1900 W POLK ST
CHICAGO, IL 60612
Nurse Practitioner (Pediatrics)
1900 W POLK ST, 1143
CHICAGO, IL 60612
Emergency Medicine
1900 W POLK ST, DEPARTMENT OF EMERGENCY MEDICINE
CHICAGO, IL 60612
Internal Medicine
1900 W POLK ST
CHICAGO, IL 60612
Pediatrics
1900 W POLK ST
CHICAGO, IL 60612

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 Ghazal Shafiei's NPI number?

The NPI number for Ghazal Shafiei is 1093036188. It was assigned to this individual provider in the NPPES registry on June 13, 2010.

Where is Ghazal Shafiei located?

Ghazal Shafiei practices at 1900 W Polk St, Chicago, IL 60612. The listed phone number is (312) 864-0060.

What is Ghazal Shafiei's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Ghazal Shafiei enrolled in Medicare?

Yes. Ghazal Shafiei 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.

Which organizations bill Medicare for Ghazal Shafiei's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ghazal Shafiei reassigns Medicare benefits to 2 organizations: Advocate Health & Hospitals Corp. (Chicago, IL) and Aurora Medical Group, Inc. (Milwaukee, WI). Each 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 Ghazal Shafiei's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ghazal Shafiei accept?

Health plans from CareSource (Common Ground Healthcare) list Ghazal Shafiei 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.

Is Ghazal Shafiei affiliated with any hospitals?

According to CMS data, Ghazal Shafiei is affiliated with Advocate Trinity Hospital and Advocate Lutheran General Hospital.

When was this NPI record last updated?

The NPPES record for Ghazal Shafiei was last updated on January 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.