DIWANTE JAMAL SHUFORD MD
NPI 1265172753
Emergency Medicine in Oak Lawn, IL
About Diwante Jamal Shuford Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DIWANTE JAMAL SHUFORD MD (NPI 1265172753) is an individual emergency medicine provider in Oak Lawn, Illinois, licensed in Illinois (036171419) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS, is affiliated with Cgh Medical Center, and maintains a secondary practice location in Columbia.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
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
Diwante Jamal Shuford 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.
Medicare Billing Reassignments
2Medicare enrollment records show Diwante Shuford reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Kankakee, IL 60901
- Reassigned Medicare billing, Illinois enrollment
- 61 clinicians in this Medicare group
Columbia, SC 29212
- Reassigned Medicare billing, South Carolina enrollment
- 1,466 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.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Cgh Medical Center
Acute Care Hospitals · Sterling, ILFhn Memorial Hospital
Acute Care Hospitals · Freeport, ILRiverside Medical Center
Acute Care Hospitals · Kankakee, ILPrisma Health Tuomey Hospital
Acute Care Hospitals · Sumter, SCPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 60453 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
OAK LAWN, IL 60453
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 Diwante Shuford's NPI number?
The NPI number for Diwante Shuford is 1265172753. It was assigned to this individual provider in the NPPES registry on March 31, 2022.
Where is Diwante Shuford located?
Diwante Shuford practices at 4440 W 95th St, Oak Lawn, IL 60453. The listed phone number is (708) 684-5375.
What is Diwante Shuford's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Diwante Shuford enrolled in Medicare?
Yes. Diwante Shuford 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 Diwante Shuford's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Diwante Shuford reassigns Medicare benefits to 2 organizations: Riverside Emergency Physicians, LLC (Kankakee, IL) and Prisma Health Medical Group-Midlands (Columbia, SC). 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 Diwante Shuford's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Diwante Shuford affiliated with any hospitals?
According to CMS data, Diwante Shuford is affiliated with Cgh Medical Center, Fhn Memorial Hospital, Riverside Medical Center and Prisma Health Tuomey Hospital.
When was this NPI record last updated?
The NPPES record for Diwante Shuford was last updated on April 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.
# Diwante Jamal Shuford, MD · NPI 1265172753
Emergency Medicine physician in Oak Lawn, Illinois. Individual provider, active in the CMS NPPES registry since March 31, 2022.
## Identity
- **NPI:** 1265172753 (Entity type: Individual)
- **Enumerated:** March 31, 2022
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 036171419 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 4440 W 95TH ST, Oak Lawn, IL 60453-2600
- **Phone:** (708) 684-5375
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Riverside Emergency Physicians, LLC (NPI 1548969181, Kankakee, IL); Prisma Health Medical Group-Midlands (NPI 1003307166, Columbia, SC) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Medical College Of Wisconsin, class of 2022
## Record status
- **NPPES last updated:** April 28, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1265172753) · Data from the CMS NPPES public registry.