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HASAN SHOAIB M.D.
NPI 1841813268
Student in an Organized Health Care Education/Training Program in Peoria, IL

Active since May 20, 2020PECOS Enrolled
530 NE GLEN OAK AVE., OSF ST. FRANCIS MEDICAL CENTER, PEORIA, IL 61637(309) 624-9351 Get Directions Write a Review

NPPES record last updated: May 4, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 23, 2026, May 4, 2022, May 20, 2020 (3 updates tracked since 2020).

About Hasan Shoaib M.d. NPPES

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

HASAN SHOAIB M.D. (NPI 1841813268) is an individual student in an organized health care education/training program in Peoria, Illinois and active in the NPI registry since May 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1841813268
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameHASAN SHOAIBCredential: M.D.
Location Address530 NE GLEN OAK AVE., OSF ST. FRANCIS MEDICAL CENTERPeoria, IL 61637
Mailing Address530 Ne Glen Oak Ave., Osf St. Francis Medical CenterPeoria, IL 61637 · (309) 624-9351
Phone(309) 624-9351
Sole ProprietorNo
Enumeration DateMay 20, 2020
Last NPPES UpdateMay 4, 20223 updates tracked since enumeration
NPPES CertifiedMay 4, 2022
✔ NPI 1841813268 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
530 NE GLEN OAK AVE., Peoria, IL 61637
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Hasan Shoaib M.d. 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.

Other Providers at the Same Location NPPES 5

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

MISS DEBOSHRUTI CHAKRABORTY M.B.B.S
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE.
PEORIA, IL 61637
Peoria County (309) 655-2274
DR. REUBEN ANTONY MD
Pediatrics (Pediatric Hematology-Oncology)
530 NE GLEN OAK AVE., C/O MS SUZY LEWELLEN,
PEORIA, IL 61637
Peoria County (646) 784-7829
SANDRA WANEMI SECONDUS M.D.
Pediatrics
530 NE GLEN OAK AVE.
PEORIA, IL 61637
Peoria County (309) 655-2274
MR. MUHAMMAD AHMED M.D
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE.
PEORIA, IL 61637
Peoria County (309) 655-2000
YUSRA SELLAL MD
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE., OFFICE 5655, NORTH BUILDING
PEORIA, IL 61637
Peoria County (309) 655-2274

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 Hasan Shoaib's NPI number?

The NPI number for Hasan Shoaib is 1841813268. It was assigned to this individual provider in the NPPES registry on May 20, 2020.

Where is Hasan Shoaib located?

Hasan Shoaib practices at 530 NE Glen Oak Ave. Osf St. Francis Medical Center, Peoria, IL 61637. The listed phone number is (309) 624-9351.

What is Hasan Shoaib's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Hasan Shoaib enrolled in Medicare?

Yes. Hasan Shoaib is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Hasan Shoaib was last updated on May 4, 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.