SHEHZAD ALI MD SC
NPI 1275574980
Internal Medicine in Chicago, IL

Active since June 10, 2006CLIA 14D1061273 · Waiver
4646 N MARINE DR, SUITE 6200C, CHICAGO, IL 60640(773) 564-5313(773) 564-5314 Get Directions Write a Review

NPPES record last updated: March 23, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 23, 2026, Nov 7, 2017 (2 updates tracked since 2017).

About Shehzad Ali Md Sc NPPES

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

SHEHZAD ALI MD SC (NPI 1275574980) is a healthcare organization registered as an internal medicine in Chicago, Illinois and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through November 13, 2026 and lists Shehzad Ali, Ceo, as its authorized official.

NPPES Registry Identity

NPI1275574980
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameSHEHZAD ALI MD SC
Location Address4646 N MARINE DR, SUITE 6200CChicago, IL 60640-5759
Mailing AddressPo Box 26975Jacksonville, FL 32226-6975 · (904) 503-1132 · Fax (888) 886-4464
Fax(773) 564-5314
Organization SubpartNo
Authorized OfficialShehzad AliCeo · (773) 564-5313
Enumeration DateJune 10, 2006
Last NPPES UpdateMarch 23, 20262 updates tracked since enumeration
NPPES CertifiedMarch 23, 2026
✔ NPI 1275574980 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
4646 N MARINE DR, Chicago, IL 60640

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shehzad Ali Md Sc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Shehzad Ali MD Sc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Internal Medicine
NPI 1548233117
4646 N MARINE DR SUITE 6200C
Chicago, IL 60640
(773) 564-5313
✔ PECOS✔ Accepts MedicareSame address

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D1061273

Shehzad Ali M D S C · Chicago, IL
Active · expires Nov 13, 2026
CLIA Number14D1061273
Laboratory TypePhysician Office
Certificate Effective DateNovember 14, 2024
Certificate Expiration DateNovember 13, 2026
Laboratory DirectorShehzad Ali M D
Laboratory Phone(773) 564-5313
Laboratory LocationShehzad Ali M D S C4646 N Marine Drive - C6200, Chicago, IL 60640
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Shehzad Ali MD Sc's NPI number?

The NPI number for Shehzad Ali MD Sc is 1275574980. It was assigned to this organization in the NPPES registry on June 10, 2006.

Where is Shehzad Ali MD Sc located?

Shehzad Ali MD Sc is located at 4646 N Marine Dr Suite 6200C, Chicago, IL 60640. The listed phone number is (773) 564-5313.

What is Shehzad Ali MD Sc's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Shehzad Ali MD Sc enrolled in Medicare?

Yes. Shehzad Ali MD Sc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Shehzad Ali MD Sc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Shehzad Ali MD Sc. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Shehzad Ali MD Sc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D1061273) is associated with this NPI, valid through November 13, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Shehzad Ali MD Sc was last updated on March 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.