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VIDYA SHIVAKUMAR M.D.
NPI 1558636647
Dermatology in Chicago, IL

Active since March 21, 2012PECOS EnrolledAccepts Medicare Assignment
839 W MADISON ST, CHICAGO, IL 60607(312) 455-3500(312) 455-3502 Get Directions Write a Review

NPPES record last updated: January 16, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 17, 2022, May 11, 2021, Feb 12, 2021 (3 updates tracked since 2021).

About Vidya Shivakumar M.d. NPPES

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

VIDYA SHIVAKUMAR M.D. (NPI 1558636647) is an individual dermatology provider in Chicago, Illinois, licensed in Illinois (036137305) and active in the NPI registry since March 2012. She is enrolled in Medicare PECOS, is affiliated with Rush University Medical Center, and is a graduate of Rush Medical College Of Rush University (2011).

NPPES Registry Identity

NPI1558636647
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameVIDYA SHIVAKUMARCredential: M.D.
Location Address839 W MADISON STChicago, IL 60607-2631
Mailing Address839 W Madison StChicago, IL 60607-2631 · (312) 455-3500 · Fax (312) 455-3502
Phone(312) 455-3500
Fax(312) 455-3502
Sole ProprietorNo
Medical School CMSRush Medical College Of Rush UniversityGraduated 2011
Enumeration DateMarch 21, 2012
Last NPPES UpdateJanuary 16, 20243 updates tracked since enumeration
NPPES CertifiedJanuary 9, 2024
✔ NPI 1558636647 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Licenses✔ Licensed in IL · 036137305✔ Licensed in IL · 125.059296
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.
839 W MADISON ST, Chicago, IL 60607
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Other Identifiers 1

Other036137305IL · State License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

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

Vidya Shivakumar 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 ID6800104837
PECOS Enrollment IDI20150924002021
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 8

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.
94 services22 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
54 services54 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.
54 services36 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
49 services49 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.
31 services26 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.
31 services30 patients

Hospital Affiliations CMS Care Compare

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

Rush University Medical Center

Acute Care Hospitals · Chicago, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140119
Location1653 West Congress ParkwayChicago, IL 60612 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60607 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.

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.

DR. NATASHA IMRAN AHMED MD
Family Medicine
839 W MADISON ST
CHICAGO, IL 60607
Cook County (810) 240-1382
DR. STEFANI ELIZABETH BEARD DO
Family Medicine
839 W MADISON ST
CHICAGO, IL 60607
Cook County (312) 942-6777

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 Vidya Shivakumar's NPI number?

The NPI number for Vidya Shivakumar is 1558636647. It was assigned to this individual provider in the NPPES registry on March 21, 2012.

Where is Vidya Shivakumar located?

Vidya Shivakumar practices at 839 W Madison St, Chicago, IL 60607. The listed phone number is (312) 455-3500.

What is Vidya Shivakumar's specialty?

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

Is Vidya Shivakumar enrolled in Medicare?

Yes. Vidya Shivakumar 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.

What insurance does Vidya Shivakumar accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Vidya Shivakumar as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Vidya Shivakumar affiliated with any hospitals?

According to CMS data, Vidya Shivakumar is affiliated with Rush University Medical Center.

When was this NPI record last updated?

The NPPES record for Vidya Shivakumar was last updated on January 16, 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.