DR. INBO SHIM
NPI 1790913093
Surgery in Chicago, IL

Active since June 24, 2009PECOS Enrolled
5841 S MARYLAND AVE # J517, CHICAGO, IL 60637(917) 470-4254 Get Directions Write a Review

NPPES record last updated: August 24, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Inbo Shim NPPES

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

DR. INBO SHIM (NPI 1790913093) is an individual surgery provider in Chicago, Illinois, licensed in Illinois (036.123702) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790913093
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. INBO SHIM
Location Address5841 S MARYLAND AVE # J517Chicago, IL 60637-1447
Mailing Address12 Park AveRiver Forest, IL 60305-2038 · (917) 470-4254
Sole ProprietorYes
Enumeration DateJune 24, 2009
Last NPPES UpdateAugust 24, 2009
NPI 1790913093 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in IL · 036.123702
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedTransplant SurgeryTaxonomy 204F00000X · License 036123702 (IL)
5841 S MARYLAND AVE # J517, Chicago, IL 60637

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Inbo Shim 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60637 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
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.

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 Inbo Shim's NPI number?

The NPI number for Inbo Shim is 1790913093. It was assigned to this individual provider in the NPPES registry on June 24, 2009.

Where is Inbo Shim located?

Inbo Shim practices at 5841 S Maryland Ave # J517, Chicago, IL 60637. The listed phone number is (917) 470-4254.

What is Inbo Shim's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Inbo Shim enrolled in Medicare?

Yes. Inbo Shim is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Inbo Shim was last updated on August 24, 2009. 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.