SHISHIR K MAITHEL MD
NPI 1750540233
Surgery - Surgical Oncology in Chicago, IL

Active since June 09, 2008PECOS EnrolledAccepts Medicare Assignment
92.26/100
CMS Quality Rating
675 N SAINT CLAIR ST STE 21-100, CHICAGO, IL 60611(312) 695-0990(312) 695-1144 Get Directions Write a Review

NPPES record last updated: August 28, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Shishir K Maithel Md NPPES

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

SHISHIR K MAITHEL MD (NPI 1750540233) is an individual surgical oncology provider in Chicago, Illinois, licensed in Illinois (036171477) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS, is affiliated with Northwestern Lake Forest Hospital, and is a graduate of University Of Chicago, Pritzker School Of Medicine (2000).

NPPES Registry Identity

NPI1750540233
Entity TypeIndividualMale
Primary Taxonomy2086X0206X
Provider Legal NameSHISHIR K MAITHELCredential: MD
Location Address675 N SAINT CLAIR ST STE 21-100Chicago, IL 60611-5970
Mailing Address675 N Saint Clair St Ste 21-100Chicago, IL 60611-5970 · (312) 695-0990 · Fax (312) 695-1144
Fax(312) 695-1144
Sole ProprietorYes
Medical School CMSUniversity Of Chicago, Pritzker School Of MedicineGraduated 2000
Enumeration DateJune 9, 2008
Last NPPES UpdateAugust 28, 2025
NPPES CertifiedAugust 28, 2025
NPI 1750540233 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgery · Surgical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2086X0206X
Licenses Licensed in IL · 036171477 Licensed in GA · 062739
Definition
A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research.
675 N SAINT CLAIR ST STE 21-100, Chicago, IL 60611

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Shishir K Maithel 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 ID3375696321
PECOS Enrollment IDI20241118001438
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.

Areas of Expertise CMS Part B claims 2

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.
58 services51 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
29 services29 patients

Hospital Affiliations CMS Care Compare 2

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

Northwestern Lake Forest Hospital

Acute Care Hospitals · Lake Forest, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140130
Location1000 N Westmoreland RoadLake Forest, IL 60045 · Lake County
Emergency services Birthing friendly

Northwestern Memorial Hospital

Acute Care Hospitals · Chicago, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140281
Location251 E Huron StChicago, IL 60611 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60611 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
$183.39 typical visit price
range $60.08 – $183.39
Typical copayment $45.84 (range $15.02 – $45.84)
Most-billed visit code 99205
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
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.

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.

92.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality73.83
Promoting Interoperability100
Improvement Activities40

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.

Hospitalist
675 N SAINT CLAIR ST STE 21-100
CHICAGO, IL 60611
Neurological Surgery
675 N SAINT CLAIR ST STE 21-100
CHICAGO, IL 60611
Dietitian, Registered
675 N SAINT CLAIR ST STE 21-100
CHICAGO, IL 60611
Internal Medicine (Hematology & Oncology)
675 N SAINT CLAIR ST STE 21-100
CHICAGO, IL 60611
Genetic Counselor, MS
675 N SAINT CLAIR ST STE 21-100
CHICAGO, IL 60611
Nurse Practitioner
675 N SAINT CLAIR ST STE 21-100
CHICAGO, IL 60611
Physician Assistant
675 N SAINT CLAIR ST STE 21-100
CHICAGO, IL 60611
Genetic Counselor, MS
675 N SAINT CLAIR ST STE 21-100
CHICAGO, IL 60611

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 Shishir Maithel's NPI number?

The NPI number for Shishir Maithel is 1750540233. It was assigned to this individual provider in the NPPES registry on June 9, 2008.

Where is Shishir Maithel located?

Shishir Maithel practices at 675 N Saint Clair St Ste 21-100, Chicago, IL 60611. The listed phone number is (312) 695-0990.

What is Shishir Maithel's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Oncology, with taxonomy code 2086X0206X.

Is Shishir Maithel enrolled in Medicare?

Yes. Shishir Maithel 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.

What insurance does Shishir Maithel accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Shishir Maithel 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 Shishir Maithel affiliated with any hospitals?

According to CMS data, Shishir Maithel is affiliated with Northwestern Lake Forest Hospital and Northwestern Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Shishir Maithel was last updated on August 28, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.