DR. SHABNUM HALEEM M.D.
NPI 1831400696
Hospitalist in Elmhurst, IL

Active since June 27, 2010PECOS EnrolledAccepts Medicare Assignment
95.11/100
CMS Quality Rating
133 E BRUSH HILL RD STE 310, ELMHURST, IL 60126(331) 221-9003 Get Directions Write a Review

NPPES record last updated: February 4, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 4, 2025, Feb 28, 2023, Jul 3, 2018 and 1 more (4 updates tracked since 2016).

About Dr. Shabnum Haleem M.d. NPPES

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

DR. SHABNUM HALEEM M.D. (NPI 1831400696) is an individual hospitalist provider in Elmhurst, Illinois, licensed in Illinois (036163047) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS, is affiliated with Northwest Community Hospital 1, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1831400696
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NameDR. SHABNUM HALEEMCredential: M.D.
Location Address133 E BRUSH HILL RD STE 310Elmhurst, IL 60126-5662
Mailing Address4201 Winfield Rd Fl 3Warrenville, IL 60555-4025
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateJune 27, 2010
Last NPPES UpdateFebruary 4, 20254 updates tracked since enumeration
NPPES CertifiedFebruary 4, 2025
✔ NPI 1831400696 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in IL · 036163047
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal Medicine · NephrologyTaxonomy 207RN0300X · License 0101258065 (VA), 036163047 (IL)
133 E BRUSH HILL RD STE 310, Elmhurst, IL 60126

Accepted Insurance

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

Dr. Shabnum Haleem M.d. 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 ID2769794387
PECOS Enrollment IDI20241107003232
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

3

Medicare enrollment records show Shabnum Haleem reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
1200 S YORK ST
Elmhurst, IL 60126
  • Reassigned Medicare billing, Illinois enrollment
  • 240 clinicians in this Medicare group
Allergy & Immunology
1000 CENTRAL ST
Evanston, IL 60201
  • Reassigned Medicare billing, Illinois enrollment
  • 4,841 clinicians in this Medicare group
Family Medicine
590 PETER JEFFERSON PKWY STE 300
Charlottesville, VA 22911
  • Reassigned Medicare billing, Virginia enrollment
  • 307 clinicians in this Medicare group

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 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
450 services158 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
91 services83 patients
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.
63 services38 patients
Hemodialysis procedure with physician evaluation 90935
Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.
59 services35 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
30 services30 patients

Hospital Affiliations CMS Care Compare

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

Northwest Community Hospital 1

Acute Care Hospitals · Arlington Heights, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140252
Location800 W Central RoadArlington Heights, IL 60005 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60126 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
$105.07 typical visit price
range $19.15 – $147.12
Typical copayment $26.26 (range $4.78 – $36.78)
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.

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.

95.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.31
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.

Physician Assistant
133 E BRUSH HILL RD STE 310
ELMHURST, IL 60126
Nurse Practitioner
133 E BRUSH HILL RD STE 310
ELMHURST, IL 60126
Internal Medicine (Pulmonary Disease)
133 E BRUSH HILL RD STE 310
ELMHURST, IL 60126
Internal Medicine (Endocrinology, Diabetes & Metabolism)
133 E BRUSH HILL RD STE 310
ELMHURST, IL 60126
Nurse Practitioner
133 E BRUSH HILL RD STE 310
ELMHURST, IL 60126
Internal Medicine (Pulmonary Disease)
133 E BRUSH HILL RD STE 310
ELMHURST, IL 60126
Internal Medicine (Gastroenterology)
133 E BRUSH HILL RD STE 310
ELMHURST, IL 60126
Internal Medicine (Gastroenterology)
133 E BRUSH HILL RD STE 310
ELMHURST, IL 60126

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 Shabnum Haleem's NPI number?

The NPI number for Shabnum Haleem is 1831400696. It was assigned to this individual provider in the NPPES registry on June 27, 2010.

Where is Shabnum Haleem located?

Shabnum Haleem practices at 133 E Brush Hill Rd Ste 310, Elmhurst, IL 60126. The listed phone number is (331) 221-9003.

What is Shabnum Haleem's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Shabnum Haleem enrolled in Medicare?

Yes. Shabnum Haleem 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 organizations bill Medicare for Shabnum Haleem's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shabnum Haleem reassigns Medicare benefits to 3 organizations: Elmhurst Memorial Healthcare (Elmhurst, IL), Endeavor Health Medical Group (Evanston, IL) and Martha Jefferson Medical Group LLC (Charlottesville, VA). 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 Shabnum Haleem's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shabnum Haleem accept?

Health plans from Oscar Health list Shabnum Haleem 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 Shabnum Haleem affiliated with any hospitals?

According to CMS data, Shabnum Haleem is affiliated with Northwest Community Hospital 1.

When was this NPI record last updated?

The NPPES record for Shabnum Haleem was last updated on February 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.