SHOKUFEH SADAGHIANI MD
NPI 1467136473
Student in an Organized Health Care Education/Training Program in Chicago, IL

Active since June 12, 2023PECOS Enrolled
4646 N MARINE DR, CHICAGO, IL 60640(773) 564-5225 Get Directions Write a Review

NPPES record last updated: March 27, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shokufeh Sadaghiani Md NPPES

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

SHOKUFEH SADAGHIANI MD (NPI 1467136473) is an individual student in an organized health care education/training program in Chicago, Illinois, licensed in Illinois (082552) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS and maintains a secondary practice location in Miami.

NPPES Registry Identity

NPI1467136473
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSHOKUFEH SADAGHIANICredential: MD
Location Address4646 N MARINE DRChicago, IL 60640-5759
Mailing Address4646 N Marine DrChicago, IL 60640-5759 · (773) 564-5225
Sole ProprietorNo
Enumeration DateJune 12, 2023
Last NPPES UpdateMarch 27, 2024
NPPES CertifiedMarch 27, 2024
NPI 1467136473 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License Licensed in IL · 082552
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
4646 N MARINE DR, Chicago, IL 60640

Secondary Practice Location 1

Location 11611 NW 12th AveMiami, FL 33136-1005 · Phone (305) 355-1122 ext. 2

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Shokufeh Sadaghiani 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.

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.

Internal Medicine
4646 N MARINE DR
CHICAGO, IL 60640
Internal Medicine
4646 N MARINE DR
CHICAGO, IL 60640
Anesthesiology
4646 N MARINE DR
CHICAGO, IL 60640
Chronic Disease Hospital
4646 N MARINE DR
CHICAGO, IL 60640
Orthopaedic Surgery
4646 N MARINE DR, SUITE 3A
CHICAGO, IL 60640
Psychiatry & Neurology (Neurology)
4646 N MARINE DR
CHICAGO, IL 60640
Speech-Language Pathologist
4646 N MARINE DR, OUTPATIENT PHYSICAL THERAPY DEPT. 1ST FLOOR
CHICAGO, IL 60640
Internal Medicine
4646 N MARINE DR
CHICAGO, IL 60640

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 Shokufeh Sadaghiani's NPI number?

The NPI number for Shokufeh Sadaghiani is 1467136473. It was assigned to this individual provider in the NPPES registry on June 12, 2023.

Where is Shokufeh Sadaghiani located?

Shokufeh Sadaghiani practices at 4646 N Marine Dr, Chicago, IL 60640. The listed phone number is (773) 564-5225.

What is Shokufeh Sadaghiani's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Shokufeh Sadaghiani enrolled in Medicare?

Yes. Shokufeh Sadaghiani is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shokufeh Sadaghiani was last updated on March 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.