1. Home
  2. Directory
  3. Illinois
  4. Pekin
  5. Pediatrics
  6. NPI Profile

DR. HUMA SHAMIM MD
NPI 1679276745
Pediatrics in Pekin, IL

Active since March 27, 2023PECOS Enrolled
3591 GRIFFIN AVE, PEKIN, IL 61554(309) 353-6301(309) 353-1884 Get Directions Write a Review

NPPES record last updated: June 3, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 3, 2026, Mar 27, 2023 (2 updates tracked since 2023).

About Dr. Huma Shamim Md NPPES

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

DR. HUMA SHAMIM MD (NPI 1679276745) is an individual pediatrics provider in Pekin, Illinois, licensed in Illinois (036179071) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Buffalo, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1679276745
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. HUMA SHAMIMCredential: MD
Location Address3591 GRIFFIN AVEPekin, IL 61554-6258
Mailing Address3591 Griffin AvePekin, IL 61554-6258 · (309) 353-6301 · Fax (309) 353-1884
Phone(309) 353-6301
Fax(309) 353-1884
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateMarch 27, 2023
Last NPPES UpdateJune 3, 20262 updates tracked since enumeration
NPPES CertifiedJune 3, 2026
✔ NPI 1679276745 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in IL · 036179071
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
3591 GRIFFIN AVE, Pekin, IL 61554
Open in Google Maps ↗

Secondary Practice Location 1

Location 11001 Main St Fl 5Buffalo, NY 14203-1009 · Phone (716) 323-0031 · Fax (716) 323-0292

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 (PECOS)

Dr. Huma Shamim Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3779054705
PECOS Enrollment IDI20260610000591
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 Huma Shamim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Carle Health Medical Group
79 mi
Internal Medicine
611 W PARK ST
Urbana, IL 61801
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Carle Health Care Incorporated
  • 2,516 clinicians in this Medicare group
NPI 1154653947 (217) 383-8300

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 61554 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
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.

Other Providers at the Same Location NPPES 4

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

LARIVEN BELTRAN FRANADA D.O.
Internal Medicine
3591 GRIFFIN AVE
PEKIN, IL 61554
Tazewell County (309) 353-6301
KAYLA FERMAN
Nurse Practitioner (Family)
3591 GRIFFIN AVE
PEKIN, IL 61554
Tazewell County (309) 353-1822
MS. JESSICA GHEEWALA PA-C
Physician Assistant
3591 GRIFFIN AVE
PEKIN, IL 61554
Tazewell County (309) 353-6301
AMBER ELROD APRN
Nurse Practitioner (Family)
3591 GRIFFIN AVE
PEKIN, IL 61554
Tazewell County (309) 353-6301

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 Huma Shamim's NPI number?

The NPI number for Huma Shamim is 1679276745. It was assigned to this individual provider in the NPPES registry on March 27, 2023.

Where is Huma Shamim located?

Huma Shamim practices at 3591 Griffin Ave, Pekin, IL 61554. The listed phone number is (309) 353-6301.

What is Huma Shamim's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Huma Shamim enrolled in Medicare?

Yes. Huma Shamim is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Huma Shamim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Huma Shamim reassigns Medicare benefits to Carle Health Medical Group (Urbana, 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 Huma Shamim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Huma Shamim accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Huma Shamim 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.

When was this NPI record last updated?

The NPPES record for Huma Shamim was last updated on June 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.