1. Home
  2. Directory
  3. Illinois
  4. Downers Grove
  5. Obstetrics Gynecology
  6. NPI Profile

SHAMITA V BANSORE MD
NPI 1700813771
Obstetrics & Gynecology in Downers Grove, IL

Active since June 27, 2006PECOS EnrolledAccepts Medicare Assignment
3825 HIGHLAND AVE, TOWER 1 SUITE 2F, DOWNERS GROVE, IL 60515(630) 852-3762(630) 852-4087 Get Directions Write a Review

NPPES record last updated: January 31, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 31, 2022, Jan 26, 2022 (2 updates tracked since 2022).

About Shamita V Bansore Md NPPES

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

SHAMITA V BANSORE MD (NPI 1700813771) is an individual obstetrics & gynecology provider in Downers Grove, Illinois, licensed in Illinois (036107104) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Northwestern Medicine Central Dupage Hospital, and is a graduate of Other (1988).

NPPES Registry Identity

NPI1700813771
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameSHAMITA V BANSORECredential: MD
Location Address3825 HIGHLAND AVE, TOWER 1 SUITE 2FDowners Grove, IL 60515-1552
Mailing Address3825 Highland Ave, Tower 1 Suite 2fDowners Grove, IL 60515-1552 · (630) 852-3762 · Fax (630) 852-4087
Phone(630) 852-3762
Fax(630) 852-4087
Sole ProprietorNo
Medical School CMSOtherGraduated 1988
Enumeration DateJune 27, 2006
Last NPPES UpdateJanuary 31, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 31, 2022
✔ NPI 1700813771 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in IL · 036107104
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
3825 HIGHLAND AVE, Downers Grove, IL 60515
Open in Google Maps ↗

Other Identifiers 1

Medicaid036107104IL

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

Shamita V Bansore 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 ID3375583289
PECOS Enrollment IDI20050607000524
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 Shamita Bansore reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Midwest Women Ob-Gyne Ltd
Same address
Obstetrics & Gynecology
3825 HIGHLAND AVE, TOWER 1 SUITE 2F
Downers Grove, IL 60515
  • Reassigned Medicare billing, Illinois enrollment
  • 3 clinicians in this Medicare group
NPI 1679652523 (630) 852-3762

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 4

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 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.
59 services54 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.
44 services36 patients
Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina 76830
An ultrasound scan of the lower abdominal region is a safe, non-invasive procedure that uses sound waves to create images of internal structures. This helps in checking the health of reproductive organs and detecting any abnormalities. The scan is done via a small probe inserted into the body.
15 services15 patients
Complete ultrasound scan of pelvis 76856
A complete ultrasound scan of the pelvis is a safe, non-invasive imaging procedure. It uses sound waves to create pictures of your lower abdomen area, helping doctors to evaluate and diagnose any potential issues. It's painless and usually takes about 30 minutes.
14 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Northwestern Medicine Central Dupage Hospital

Acute Care Hospitals · Winfield, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140242
Location25 North Winfield RoadWinfield, IL 60190 · Du Page County
Emergency services Birthing friendly

Advocate Good Samaritan Hospital

Acute Care Hospitals · Downers Grove, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140288
Location3815 Highland AvenueDowners Grove, IL 60515 · Du Page County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60515 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
$137.43 typical visit price
range $59.81 – $181.38
Typical copayment $34.35 (range $14.95 – $45.34)
Most-billed visit code 99204
Established Patient
$74.38 typical visit price
range $19.15 – $147.12
Typical copayment $18.59 (range $4.78 – $36.78)
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 20

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

PETER MICHAEL KERWIN MD
Internal Medicine (Interventional Cardiology)
3825 HIGHLAND AVE, TOWER 2 SUITE 400
DOWNERS GROVE, IL 60515
Dupage County (630) 719-4799
BARRY SADEGI M.D.
Obstetrics & Gynecology (Maternal & Fetal Medicine)
3825 HIGHLAND AVE, 3B
DOWNERS GROVE, IL 60515
Dupage County (630) 434-9300
STEPHEN MICHAEL ROWLEY MD
Internal Medicine (Cardiovascular Disease)
3825 HIGHLAND AVE, TOWER 2 SUITE 400
DOWNERS GROVE, IL 60515
Dupage County (630) 719-4799
DR. KOTESWARA RAO BATCHU M.D.
Legal Medicine
3825 HIGHLAND AVE, SUITE 4B
DOWNERS GROVE, IL 60515
Dupage County (630) 963-4990
BARRY SADEGI, M.D., S.C.
Obstetrics & Gynecology
3825 HIGHLAND AVE, 3B
DOWNERS GROVE, IL 60515
Dupage County (630) 434-9300
DR. PAUL J WEST M.D.
Urology
3825 HIGHLAND AVE, SUITE 207
DOWNERS GROVE, IL 60515
Dupage County (630) 960-1498
DR. CYNTHIA ANN WOLLENSCHLAGER M.D.
Internal Medicine (Infectious Disease)
3825 HIGHLAND AVE, TOWER I, SUITE 3F
DOWNERS GROVE, IL 60515
Dupage County (630) 971-9275
MATTHEW OSCEOLA NORA MD
Internal Medicine (Clinical Cardiac Electrophysiology)
3825 HIGHLAND AVE, TOWER 2 SUITE 400
DOWNERS GROVE, IL 60515
Dupage County (630) 719-4799

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 Shamita Bansore's NPI number?

The NPI number for Shamita Bansore is 1700813771. It was assigned to this individual provider in the NPPES registry on June 27, 2006.

Where is Shamita Bansore located?

Shamita Bansore practices at 3825 Highland Ave Tower 1 Suite 2F, Downers Grove, IL 60515. The listed phone number is (630) 852-3762.

What is Shamita Bansore's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Shamita Bansore enrolled in Medicare?

Yes. Shamita Bansore 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 organization bills Medicare for Shamita Bansore's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shamita Bansore reassigns Medicare benefits to Midwest Women Ob-Gyne Ltd (Downers Grove, 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 Shamita Bansore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Shamita Bansore affiliated with any hospitals?

According to CMS data, Shamita Bansore is affiliated with Northwestern Medicine Central Dupage Hospital and Advocate Good Samaritan Hospital.

When was this NPI record last updated?

The NPPES record for Shamita Bansore was last updated on January 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.