SUMANA SHASHIDHAR
NPI 1669227294
Student in an Organized Health Care Education/Training Program in Chicago, IL

Q: What is Sumana Shashidhar's NPI number?

The NPI number for Sumana Shashidhar is 1669227294. It was assigned to this individual provider in the NPPES registry on April 18, 2024.

Q: What is Sumana Shashidhar's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Sumana Shashidhar was last updated on April 18, 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.

Active since April 18, 2024PECOS Enrolled

5841 S MARYLAND AVE # MC8016, CHICAGO, IL 60637(773) 702-1000(773) 834-0748 Get Directions Write a Review

NPPES record last updated: April 18, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Sumana Shashidhar NPPES

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

SUMANA SHASHIDHAR (NPI 1669227294) is an individual student in an organized health care education/training program in Chicago, Illinois and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669227294

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameSUMANA SHASHIDHAR

Location Address5841 S MARYLAND AVE # MC8016Chicago, IL 60637-1443

Mailing Address180 Harvester Dr Ste 110Burr Ridge, IL 60527-6686 · (773) 702-1150

Phone(773) 702-1000

Fax(773) 834-0748

Sole ProprietorNo

Enumeration DateApril 18, 2024

NPPES CertifiedApril 18, 2024

✔ NPI 1669227294 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

5841 S MARYLAND AVE # MC8016, Chicago, IL 60637

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sumana Shashidhar 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.

Other Providers at the Same Location NPPES 20

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

MAHI KAUR SINGH MD

Student in an Organized Health Care Education/Training Program