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DR. IBRAHIM SHAMSI DO
NPI 1710207105
Pediatrics in Peoria, IL

Active since June 08, 2010PECOS Enrolled
530 NE GLEN OAK AVE, PEORIA, IL 61637(800) 599-7337 Get Directions Write a Review

NPPES record last updated: June 8, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Ibrahim Shamsi Do NPPES

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

DR. IBRAHIM SHAMSI DO (NPI 1710207105) is an individual pediatrics provider in Peoria, Illinois, licensed in Illinois (125.057513) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710207105
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. IBRAHIM SHAMSICredential: DO
Location Address530 NE GLEN OAK AVEPeoria, IL 61637-0001
Mailing Address7 Chippewa CtBurr Ridge, IL 60527-0814 · (630) 430-6786
Phone(800) 599-7337
Sole ProprietorYes
Enumeration DateJune 8, 2010
✔ NPI 1710207105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in IL · 125.057513
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.
530 NE GLEN OAK AVE, Peoria, IL 61637
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource.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. Ibrahim Shamsi Do 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.

Medicare Billing Reassignments

4

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

Methodist Medical Center Of Illinois
0.3 mi
General Acute Care Hospital
221 NE GLEN OAK AVE
Peoria, IL 61636
  • Reassigned Medicare billing, Illinois enrollment
  • 693 clinicians in this Medicare group
NPI 1164474755 (309) 672-5522
Proctor Health Systems
3.4 mi
Family Medicine
5401 N KNOXVILLE AVE, SUITE 209
Peoria, IL 61614
  • Reassigned Medicare billing, Illinois enrollment
  • 349 clinicians in this Medicare group
NPI 1134173917 (309) 689-6049
Pekin Prohealth Inc
9.9 mi
Family Medicine
600 S 13TH ST, SUITE M
Pekin, IL 61554
  • Reassigned Medicare billing, Illinois enrollment
  • 142 clinicians in this Medicare group
NPI 1932150299 (309) 353-0825
Carle Health Medical Group
83 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 61637 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 20

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

DR. HAMID MAHMOOD ZIA M.D
Pathology (Anatomic Pathology & Clinical Pathology)
530 NE GLEN OAK AVE, CENTRAL ILLINOIS PATHOLOGY SC
PEORIA, IL 61637
Peoria County (309) 624-9011
THOMAS JAMES MCMORROW MD
Pediatrics
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-2553
ALEXANDRA ROPER MD
Surgery
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-2000
JAPMEHR KAUR SANDHU M.B.B.S.
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 624-9351
THOMAS BLACKWELL JR. MD
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-2000
LUKE KLOFT
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-2109
ABIGAIL V. WELU DO
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-6710
DR. JAMES DANIEL DEWAR D.O.
Internal Medicine (Interventional Cardiology)
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-7257

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 Ibrahim Shamsi's NPI number?

The NPI number for Ibrahim Shamsi is 1710207105. It was assigned to this individual provider in the NPPES registry on June 8, 2010.

Where is Ibrahim Shamsi located?

Ibrahim Shamsi practices at 530 NE Glen Oak Ave, Peoria, IL 61637. The listed phone number is (800) 599-7337.

What is Ibrahim Shamsi's specialty?

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

Is Ibrahim Shamsi enrolled in Medicare?

Yes. Ibrahim Shamsi is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Ibrahim Shamsi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ibrahim Shamsi reassigns Medicare benefits to 4 organizations: Methodist Medical Center Of Illinois (Peoria, IL), Proctor Health Systems (Peoria, IL), Pekin Prohealth Inc (Pekin, IL) and Carle Health Medical Group (Urbana, IL). 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 Ibrahim Shamsi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ibrahim Shamsi accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource list Ibrahim Shamsi 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 Ibrahim Shamsi was last updated on June 8, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.