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DR. HAFEEZ SHAKA MD
NPI 1588150221
Internal Medicine in Decatur, IL

Active since July 05, 2018PECOS EnrolledAccepts Medicare Assignment
84.57/100
CMS Quality Rating
2300 N EDWARD ST STE 3200, DECATUR, IL 62526(217) 876-3660(217) 876-3665 Get Directions Write a Review

NPPES record last updated: November 21, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 21, 2025, Jul 5, 2018 (2 updates tracked since 2018).

About Dr. Hafeez Shaka Md NPPES

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

DR. HAFEEZ SHAKA MD (NPI 1588150221) is an individual internal medicine provider in Decatur, Illinois, licensed in Illinois (125071709) and active in the NPI registry since July 2018. He is enrolled in Medicare PECOS, is affiliated with Saint Anthony Hospital, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1588150221
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. HAFEEZ SHAKACredential: MD
Location Address2300 N EDWARD ST STE 3200Decatur, IL 62526-4192
Mailing Address2300 N Edward St Ste 3200Decatur, IL 62526-4192 · (217) 876-3660 · Fax (217) 876-3665
Phone(217) 876-3660
Fax(217) 876-3665
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJuly 5, 2018
Last NPPES UpdateNovember 21, 20252 updates tracked since enumeration
NPPES CertifiedNovember 21, 2025
✔ NPI 1588150221 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in IL · 125071709
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
2300 N EDWARD ST STE 3200, Decatur, IL 62526
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Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Hafeez Shaka Md 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 ID2264784917
PECOS Enrollment IDI20210610000747
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 Reassignments

4

Medicare enrollment records show Hafeez Shaka reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Inpatient Consultants Of Illinois, P.C.
115 mi
Internal Medicine
12125 WOODCREST EXECUTIVE DR, SUITE 220
Saint Louis, MO 63141
  • Reassigned Medicare billing, Illinois enrollment
  • 108 clinicians in this Medicare group
NPI 1003850843 (314) 317-0600
Cook County
134 mi
Primary Care
1645 COTTAGE GROVE AVE
Ford Heights, IL 60411
  • Reassigned Medicare billing, Illinois enrollment
  • 1,047 clinicians in this Medicare group
NPI 1760502439 (708) 753-5800
Saint Anthony Health Affiliates
150 mi
Multi-Specialty
4192 S ARCHER AVE
Chicago, IL 60632
  • Reassigned Medicare billing, Illinois enrollment
  • 210 clinicians in this Medicare group
NPI 1295757771 (773) 254-2222
Signify Health Medical Associates, PLLC
649 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Illinois enrollment
  • 712 clinicians in this Medicare group
NPI 1750845863 (972) 715-3800

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

Areas of Expertise CMS Part B claims 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
153 services73 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.
79 services43 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.
28 services23 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
24 services24 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
12 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Saint Anthony Hospital

Acute Care Hospitals · Chicago, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140095
Location2875 West 19th StreetChicago, IL 60623 · Cook County
Emergency services Birthing friendly

John H Stroger Jr Hospital

Acute Care Hospitals · Chicago, IL
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number140124
Location1901 W Harrison StChicago, IL 60612 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62526 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
$127.46 typical visit price
range $54.80 – $168.44
Typical copayment $31.86 (range $13.70 – $42.11)
Most-billed visit code 99204
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

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.

84.57/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality60.25
Promoting Interoperability100
Improvement Activities40
Cost67

Other Providers at the Same Location NPPES 7

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

DR. EFE MARCUS AKPOIGBE MD
Hospitalist
2300 N EDWARD ST STE 3200
DECATUR, IL 62526
Macon County (217) 876-3660
MEGAN A BYERS ACNPC-AG
Nurse Practitioner (Acute Care)
2300 N EDWARD ST STE 3200
DECATUR, IL 62526
Macon County (217) 876-3660
RITIKA SHARMA M.D.
Family Medicine
2300 N EDWARD ST STE 3200
DECATUR, IL 62526
Macon County (217) 876-3660
JABARI E MUNROE MD
Internal Medicine
2300 N EDWARD ST STE 3200
DECATUR, IL 62526
Macon County (217) 876-3660
DR. ANUJ KUMAR SINGH MD
Hospitalist
2300 N EDWARD ST STE 3200
DECATUR, IL 62526
Macon County (217) 876-3660
JOAO MANOEL DA SILVEIRA LARA MD
Internal Medicine
2300 N EDWARD ST STE 3200
DECATUR, IL 62526
Macon County (217) 876-3660
DR. ABHINEET KUMAR MD
Hospitalist
2300 N EDWARD ST STE 3200
DECATUR, IL 62526
Macon County (217) 876-3660

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 Hafeez Shaka's NPI number?

The NPI number for Hafeez Shaka is 1588150221. It was assigned to this individual provider in the NPPES registry on July 5, 2018.

Where is Hafeez Shaka located?

Hafeez Shaka practices at 2300 N Edward St Ste 3200, Decatur, IL 62526. The listed phone number is (217) 876-3660.

What is Hafeez Shaka's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Hafeez Shaka enrolled in Medicare?

Yes. Hafeez Shaka 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.

Which organizations bill Medicare for Hafeez Shaka's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Hafeez Shaka reassigns Medicare benefits to 4 organizations: Inpatient Consultants Of Illinois, P.C. (Saint Louis, MO), Cook County (Ford Heights, IL), Saint Anthony Health Affiliates (Chicago, IL) and Signify Health Medical Associates, PLLC (Dallas, TX). Each 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 Hafeez Shaka's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Hafeez Shaka accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Hafeez Shaka 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 Hafeez Shaka affiliated with any hospitals?

According to CMS data, Hafeez Shaka is affiliated with Saint Anthony Hospital and John H Stroger Jr Hospital.

When was this NPI record last updated?

The NPPES record for Hafeez Shaka was last updated on November 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.