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OSAMA A EL-SHAFIE MD
NPI 1912004623
Psychiatry & Neurology - Psychiatry in Downers Grove, IL

Active since September 17, 2006PECOS EnrolledAccepts Medicare Assignment
1401 BRANDING AVE STE 312, DOWNERS GROVE, IL 60515(630) 424-9204 Get Directions Write a Review

NPPES record last updated: September 2, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 2, 2025, Apr 18, 2019 (2 updates tracked since 2019).

About Osama A El-shafie Md NPPES

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

OSAMA A EL-SHAFIE MD (NPI 1912004623) is an individual psychiatry provider in Downers Grove, Illinois, licensed in Illinois (036082973) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1991).

NPPES Registry Identity

NPI1912004623
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameOSAMA A EL-SHAFIECredential: MD
Location Address1401 BRANDING AVE STE 312Downers Grove, IL 60515-1171
Mailing AddressPo Box 5970Villa Park, IL 60181-5312 · (630) 424-9204
Phone(630) 424-9204
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateSeptember 17, 2006
Last NPPES UpdateSeptember 2, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 2, 2025
✔ NPI 1912004623 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in IL · 036082973
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
1401 BRANDING AVE STE 312, Downers Grove, IL 60515
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Other Identifiers 1

Other2232042IL · Bcbs Provider Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.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

Osama A El-shafie 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 ID3476548777
PECOS Enrollment IDI20101112001262
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

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
239 services62 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60515 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
$181.38 typical visit price
range $59.81 – $181.38
Typical copayment $45.34 (range $14.95 – $45.34)
Most-billed visit code 99205
Established Patient
$74.38 typical visit price
range $19.15 – $147.12
Typical copayment $18.59 (range $4.78 – $36.78)
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.

Other Providers at the Same Location NPPES 3

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

DONNA C DOBROWOLSKY MD
Psychiatry & Neurology (Psychiatry)
1401 BRANDING AVE STE 312
DOWNERS GROVE, IL 60515
Dupage County (630) 424-9482
OAKBROOK BEHAVIORAL HEALTH LTD
Psychiatry & Neurology (Psychiatry)
1401 BRANDING AVE STE 312
DOWNERS GROVE, IL 60515
Dupage County (630) 424-9204
KHADIJA T KHAN MD
Psychiatry & Neurology (Psychiatry)
1401 BRANDING AVE STE 312
DOWNERS GROVE, IL 60515
Dupage County (630) 424-9204

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 Osama El-shafie's NPI number?

The NPI number for Osama El-shafie is 1912004623. It was assigned to this individual provider in the NPPES registry on September 17, 2006.

Where is Osama El-shafie located?

Osama El-shafie practices at 1401 Branding Ave Ste 312, Downers Grove, IL 60515. The listed phone number is (630) 424-9204.

What is Osama El-shafie's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Osama El-shafie enrolled in Medicare?

Yes. Osama El-shafie 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 Osama El-shafie accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Osama El-shafie 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 Osama El-shafie was last updated on September 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.