DR. ALI SHAMMOUT MD
NPI 1114785474
Emergency Medicine in Chicago, IL

Q: What is Ali Shammout's NPI number?

The NPI number for Ali Shammout is 1114785474. It was assigned to this individual provider in the NPPES registry on March 11, 2024.

Q: What is Ali Shammout's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Ali Shammout was last updated on May 6, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 11, 2024PECOS Enrolled

5841 S MARYLAND AVE # MC5068, CHICAGO, IL 60637(773) 702-9500 Get Directions Write a Review

NPPES record last updated: May 6, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 6, 2025, Apr 2, 2025 (2 updates tracked since 2025).

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About Dr. Ali Shammout Md NPPES

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

DR. ALI SHAMMOUT MD (NPI 1114785474) is an individual emergency medicine provider in Chicago, Illinois, licensed in Illinois (125085230) and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114785474

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameDR. ALI SHAMMOUTCredential: MD

Location Address5841 S MARYLAND AVE # MC5068Chicago, IL 60637-1443

Mailing Address180 Harvester Dr Ste 110Burr Ridge, IL 60527-6686 · (773) 702-1150

Phone(773) 702-9500

Sole ProprietorYes

Enumeration DateMarch 11, 2024

Last NPPES UpdateMay 6, 20252 updates tracked since enumeration

NPPES CertifiedMay 6, 2025

✔ NPI 1114785474 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in IL · 125085230

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.

5841 S MARYLAND AVE # MC5068, Chicago, IL 60637

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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 (PECOS)

Dr. Ali Shammout Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60637 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.