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DR. SHAZIA SHIVJI MD
NPI 1639681018
Internal Medicine in Chicago, IL

Active since October 25, 2017PECOS EnrolledAccepts Medicare Assignment
87.95/100
CMS Quality Rating
3433 W MADISON ST, CHICAGO, IL 60624(773) 242-2299 Get Directions Write a Review

NPPES record last updated: June 10, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 10, 2025, Apr 25, 2024, Sep 29, 2020 and 1 more (4 updates tracked since 2017).

About Dr. Shazia Shivji Md NPPES

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

DR. SHAZIA SHIVJI MD (NPI 1639681018) is an individual internal medicine provider in Chicago, Illinois, licensed in Illinois (036.168664) and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS, is affiliated with Rush University Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1639681018
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. SHAZIA SHIVJICredential: MD
Location Address3433 W MADISON STChicago, IL 60624-2895
Mailing AddressPo Box 746715Atlanta, GA 30374-6715 · (773) 352-1515 · Fax (312) 929-0373
Phone(773) 242-2299
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateOctober 25, 2017
Last NPPES UpdateJune 10, 20254 updates tracked since enumeration
NPPES CertifiedJune 10, 2025
✔ NPI 1639681018 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in IL · 036.168664✔ Licensed in IN · 01084682A
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.
3433 W MADISON ST, Chicago, IL 60624
Open in Google Maps ↗

Secondary Practice Locations 2

Location 15145 N California AveChicago, IL 60625-3661 · Phone (773) 878-8200
Location 26200 Central AvePortage, IN 46368-3702 · Phone (219) 762-1040 · Fax (219) 762-1041

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. Shazia Shivji 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 ID648690784
PECOS Enrollment IDI20240328002148
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

3

Medicare enrollment records show Shazia Shivji reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rush University Medical Center
2.3 mi
Diagnostic Radiology
1620 W HARRISON ST
Chicago, IL 60612
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Rush University Medical Group
  • 2,169 clinicians in this Medicare group
NPI 1184269425 (312) 563-4270
Oak Street Health Physicians Group, PC
13 mi
Primary Care
1715 E 95TH ST
Chicago, IL 60617
  • Reassigned Medicare billing, Illinois enrollment
  • 343 clinicians in this Medicare group
NPI 1083051643 (773) 768-4437
Porter Physician Services LLC
36 mi
Internal Medicine
3630 WILLOWCREEK RD
Portage, IN 46368
  • Reassigned Medicare billing, Indiana enrollment
  • 177 clinicians in this Medicare group
NPI 1457566309 (219) 759-5791

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

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.

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
17 services13 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 60624 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
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
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.

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.

87.95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.04
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 5

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

KATHERINE RENEE DAVIS DNP
Nurse Practitioner
3433 W MADISON ST
CHICAGO, IL 60624
Cook County (773) 242-2299
ADNAN ABDUR RAZZAQUE
Internal Medicine
3433 W MADISON ST
CHICAGO, IL 60624
Cook County (773) 242-2299
MEGAN WHITLEY HATCHER M.D.
Family Medicine
3433 W MADISON ST
CHICAGO, IL 60624
Cook County (773) 242-2299
DR. JAMES GABRIEL HODGES M.D.
Internal Medicine
3433 W MADISON ST
CHICAGO, IL 60624
Cook County (773) 242-2299
MELISSA A CLARK LCSW
Social Worker (Clinical)
3433 W MADISON ST
CHICAGO, IL 60624
Cook County (773) 242-2299

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 Shazia Shivji's NPI number?

The NPI number for Shazia Shivji is 1639681018. It was assigned to this individual provider in the NPPES registry on October 25, 2017.

Where is Shazia Shivji located?

Shazia Shivji practices at 3433 W Madison St, Chicago, IL 60624. The listed phone number is (773) 242-2299.

What is Shazia Shivji's specialty?

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

Is Shazia Shivji enrolled in Medicare?

Yes. Shazia Shivji 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 Shazia Shivji's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shazia Shivji reassigns Medicare benefits to 3 organizations: Rush University Medical Center (Chicago, IL), Oak Street Health Physicians Group, PC (Chicago, IL) and Porter Physician Services LLC (Portage, IN). 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 Shazia Shivji's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shazia Shivji accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Shazia Shivji 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 Shazia Shivji affiliated with any hospitals?

According to CMS data, Shazia Shivji is affiliated with Rush University Medical Center.

When was this NPI record last updated?

The NPPES record for Shazia Shivji was last updated on June 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.