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

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: November 01, 2026.

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

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Shayan Gharagozlou reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dupage Medical Group Ltd
21 mi
Multi-Specialty
1100 W 31ST ST, STE 300
Downers Grove, IL 60515
  • Reassigned Medicare billing, Illinois enrollment
  • 1,061 clinicians in this Medicare group
NPI 1801833983 (630) 469-9200

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

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 9

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

TINLEY PRIMARY CARE, LTD
Family Medicine
17148 HARLEM AVE
TINLEY PARK, IL 60477
Cook County (708) 429-1200
DR. DINESH K JAIN M.D.
Internal Medicine
17148 HARLEM AVE
TINLEY PARK, IL 60477
Cook County (708) 429-1200
ANGELO G TSAKOPOULOS M.D.
Family Medicine
17148 HARLEM AVE
TINLEY PARK, IL 60477
Cook County (708) 429-1200
BRUCE C MALM MD
Internal Medicine
17148 HARLEM AVE
TINLEY PARK, IL 60477
Cook County (708) 429-1200
DR. JOHN P. KALAMARIS D.O.
Family Medicine
17148 HARLEM AVE
TINLEY PARK, IL 60477
Cook County (708) 429-1200
DR. WILLIAM WILL M.D.
Internal Medicine
17148 HARLEM AVE
TINLEY PARK, IL 60477
Cook County (708) 429-1200
DR. PAUL JOSEPH BULOW JR. D.O.
Internal Medicine
17148 HARLEM AVE
TINLEY PARK, IL 60477
Cook County (708) 429-1200
WALID ALI MD
Family Medicine
17148 HARLEM AVE
TINLEY PARK, IL 60477
Cook County (708) 429-1200

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 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.

Where is Shayan Gharagozlou located?

Shayan Gharagozlou practices at 17148 Harlem Ave, Tinley Park, IL 60477. The listed phone number is (708) 429-1200.

What is Shayan Gharagozlou's specialty?

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

Is Shayan Gharagozlou enrolled in Medicare?

Yes. Shayan Gharagozlou is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Shayan Gharagozlou's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shayan Gharagozlou reassigns Medicare benefits to Dupage Medical Group Ltd (Downers Grove, IL). The 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 Shayan Gharagozlou's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Shayan Gharagozlou was last updated on August 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.