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DR. JENNIFER SHASTRY M.D.
NPI 1275989808
Dermatology in Chicago, IL

Active since May 12, 2016PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
111 W WASHINGTON ST STE 1801, CHICAGO, IL 60602(312) 695-8106(312) 694-1340 Get Directions Write a Review

NPPES record last updated: October 6, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 6, 2020, Nov 16, 2018, Jun 23, 2016 and 1 more (4 updates tracked since 2016).

About Dr. Jennifer Shastry M.d. NPPES

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

DR. JENNIFER SHASTRY M.D. (NPI 1275989808) is an individual dermatology provider in Chicago, Illinois, licensed in Illinois (036152257) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS, is affiliated with Northwestern Medicine Central Dupage Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1275989808
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameDR. JENNIFER SHASTRYCredential: M.D.
Location Address111 W WASHINGTON ST STE 1801Chicago, IL 60602-3430
Mailing Address111 W Washington St Ste 1801Chicago, IL 60602-3430 · (312) 695-8106 · Fax (312) 694-1340
Phone(312) 695-8106
Fax(312) 694-1340
Sole ProprietorNo
Medical School CMSUniversity Of Iowa, Rj & L Carver College Of MedicineGraduated 2016
Enumeration DateMay 12, 2016
Last NPPES UpdateOctober 6, 20204 updates tracked since enumeration
NPPES CertifiedOctober 6, 2020
✔ NPI 1275989808 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Licenses✔ Licensed in IL · 036152257✔ Licensed in IL · 125069308
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
111 W WASHINGTON ST STE 1801, Chicago, IL 60602
Open in Google Maps ↗

Secondary Practice Locations 2

Location 17435 W Talcott AveChicago, IL 60631-3707 · Phone (773) 792-5144
Location 2676 N Saint Clair St Ste 1600Chicago, IL 60611-2997 · Phone (312) 695-8106

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

Dr. Jennifer Shastry 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 ID9739470543
PECOS Enrollment IDI20200923000189
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 9

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.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
199 services28 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
124 services85 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
106 services87 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
60 services43 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
60 services44 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
26 services25 patients

Hospital Affiliations CMS Care Compare 2

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

Northwestern Medicine Central Dupage Hospital

Acute Care Hospitals · Winfield, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140242
Location25 North Winfield RoadWinfield, IL 60190 · Du Page County
Emergency services Birthing friendly

Northwestern Memorial Hospital

Acute Care Hospitals · Chicago, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140281
Location251 E Huron StChicago, IL 60611 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60602 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
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.59
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALEXANDER BLANK PA-C
Physician Assistant
111 W WASHINGTON ST STE 1801
CHICAGO, IL 60602
Cook County (312) 695-8106
OYINADE ADERIBIGBE M.D.
Dermatology
111 W WASHINGTON ST STE 1801
CHICAGO, IL 60602
Cook County (312) 926-3627

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 Jennifer Shastry's NPI number?

The NPI number for Jennifer Shastry is 1275989808. It was assigned to this individual provider in the NPPES registry on May 12, 2016.

Where is Jennifer Shastry located?

Jennifer Shastry practices at 111 W Washington St Ste 1801, Chicago, IL 60602. The listed phone number is (312) 695-8106.

What is Jennifer Shastry's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Jennifer Shastry enrolled in Medicare?

Yes. Jennifer Shastry 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.

Is Jennifer Shastry affiliated with any hospitals?

According to CMS data, Jennifer Shastry is affiliated with Northwestern Medicine Central Dupage Hospital and Northwestern Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Jennifer Shastry was last updated on October 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.