Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SHAYAN FEYZI GHARAGOZLOU DO
NPI 1558007237
Family Medicine - Sports Medicine in Tinley Park, IL

Q: What is Shayan Gharagozlou's NPI number?

The NPI number for Shayan Gharagozlou is 1558007237. It was assigned to this individual provider in the NPPES registry on May 6, 2022.

Q: What is Shayan Gharagozlou's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Active since May 06, 2022PECOS Enrolled

17148 HARLEM AVE, TINLEY PARK, IL 60477(708) 429-1200(708) 429-4845 Get Directions Write a Review

NPPES record last updated: August 7, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 7, 2026, May 6, 2022 (2 updates tracked since 2022).

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About Shayan Feyzi Gharagozlou Do NPPES

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

SHAYAN FEYZI GHARAGOZLOU DO (NPI 1558007237) is an individual sports medicine provider in Tinley Park, Illinois, licensed in Illinois (036-176079) and active in the NPI registry since May 2022. He is enrolled in Medicare PECOS and maintains a secondary practice location in Park Ridge.

NPPES Registry Identity

NPI1558007237

Entity TypeIndividualMale

Primary Taxonomy207QS0010X

Provider Legal NameSHAYAN FEYZI GHARAGOZLOUCredential: DO

Location Address17148 HARLEM AVETinley Park, IL 60477-3331

Mailing AddressPo Box 713260Chicago, IL 60677-1260 · (630) 469-9200

Phone(708) 429-1200

Fax(708) 429-4845

Sole ProprietorNo

Enumeration DateMay 6, 2022

Last NPPES UpdateAugust 7, 20262 updates tracked since enumeration

NPPES CertifiedAugust 7, 2026

✔ NPI 1558007237 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QS0010X

Licenses✔ Licensed in IL · 036-176079✔ Licensed in TX · U8330

Definition

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License BP10080620 (TX)

17148 HARLEM AVE, Tinley Park, IL 60477

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Secondary Practice Location 1

Location 1Nesset Pavilion 1775 Ballard Rd.Park Ridge, IL 60068 · Phone (847) 318-2710

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shayan Feyzi Gharagozlou Do 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60477 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

$105.70 typical visit price

range $18.97 – $148.12

Typical copayment $26.42 (range $4.74 – $37.03)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 8

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

TINLEY PRIMARY CARE, LTD

Family Medicine