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MOHAMED IHTESHAM SHAJI MD
NPI 1194248914
Internal Medicine - Adolescent Medicine in Chicago, IL

Active since July 24, 2017PECOS EnrolledAccepts Medicare Assignment
75.75/100
CMS Quality Rating
4646 N MARINE DR, CHICAGO, IL 60640(773) 564-7400 Get Directions Write a Review

NPPES record last updated: August 15, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 15, 2017, Jul 24, 2017 (2 updates tracked since 2017).

About Mohamed Ihtesham Shaji Md NPPES

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

MOHAMED IHTESHAM SHAJI MD (NPI 1194248914) is an individual adolescent medicine provider in Chicago, Illinois, licensed in Illinois (125.069826) and active in the NPI registry since July 2017. He is enrolled in Medicare PECOS, is affiliated with Ascension Columbia St Mary's Hospital Milwaukee, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1194248914
Entity TypeIndividualMale
Primary Taxonomy207RA0000X
Provider Legal NameMOHAMED IHTESHAM SHAJICredential: MD
Location Address4646 N MARINE DRChicago, IL 60640-5759
Mailing AddressDept Of Gme, 4646 N Marine Dr, 7th Fl Ste 7100Chicago, IL 60640-5759
Phone(773) 564-7400
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJuly 24, 2017
Last NPPES UpdateAugust 15, 20172 updates tracked since enumeration
✔ NPI 1194248914 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RA0000X
License✔ Licensed in IL · 125.069826
Definition
An internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
4646 N MARINE DR, Chicago, IL 60640
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

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

Mohamed Ihtesham Shaji 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 ID1557633203
PECOS Enrollment IDI20200528000875
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 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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
299 services123 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
115 services57 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
97 services93 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
37 services37 patients

Hospital Affiliations CMS Care Compare 3

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

Ascension Columbia St Mary's Hospital Milwaukee

Acute Care Hospitals · Milwaukee, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520051
Location2323 N Lake DrMilwaukee, WI 53211 · Milwaukee County
Emergency services Birthing friendly

Ascension SE Wisconsin Hospital

Acute Care Hospitals · Milwaukee, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520136
Location5000 W Chambers StMilwaukee, WI 53210 · Milwaukee County
Emergency services Birthing friendly

Ascension Calumet Hospital

Critical Access Hospitals · Chilton, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521317
Location614 Memorial DriveChilton, WI 53014 · Calumet County
Emergency services

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.

75.75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.16
Promoting Interoperability76
Improvement Activities40
Cost57.63

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers17 claims17 services$14.45 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers17 claims17 services$65.99 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Mohamed Shaji's NPI number?

The NPI number for Mohamed Shaji is 1194248914. It was assigned to this individual provider in the NPPES registry on July 24, 2017.

Where is Mohamed Shaji located?

Mohamed Shaji practices at 4646 N Marine Dr, Chicago, IL 60640. The listed phone number is (773) 564-7400.

What is Mohamed Shaji's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Adolescent Medicine, with taxonomy code 207RA0000X.

Is Mohamed Shaji enrolled in Medicare?

Yes. Mohamed Shaji 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.

What insurance does Mohamed Shaji accept?

Health plans from Anthem Blue Cross and Blue Shield list Mohamed Shaji 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 Mohamed Shaji affiliated with any hospitals?

According to CMS data, Mohamed Shaji is affiliated with Ascension Columbia St Mary's Hospital Milwaukee, Ascension SE Wisconsin Hospital and Ascension Calumet Hospital.

When was this NPI record last updated?

The NPPES record for Mohamed Shaji was last updated on August 15, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.