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DR. SHELLY VERMA D.O
NPI 1912325796
Family Medicine in Park Ridge, IL

Active since March 31, 2014PECOS EnrolledAccepts Medicare Assignment
1610 LUTHER LN, PARK RIDGE, IL 60068(847) 318-2303(847) 318-2377 Get Directions Write a Review

NPPES record last updated: February 14, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 14, 2025, Nov 8, 2021, Sep 12, 2019 and 2 more (5 updates tracked since 2018).

About Dr. Shelly Verma D.o NPPES

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

DR. SHELLY VERMA D.O (NPI 1912325796) is an individual family medicine provider in Park Ridge, Illinois, licensed in Illinois (036143774) and active in the NPI registry since March 2014. She is enrolled in Medicare PECOS, is affiliated with Katherine Shaw Bethea Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1912325796
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. SHELLY VERMACredential: D.O
Location Address1610 LUTHER LNPark Ridge, IL 60068-1243
Mailing Address29373 Network PlChicago, IL 60673-1293 · (847) 390-5900 · Fax (847) 390-4757
Phone(847) 318-2303
Fax(847) 318-2377
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateMarch 31, 2014
Last NPPES UpdateFebruary 14, 20255 updates tracked since enumeration
NPPES CertifiedFebruary 14, 2025
✔ NPI 1912325796 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in IL · 036143774✔ Licensed in RI · DO00978
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedHospitalistTaxonomy 208M00000X · License 036143774 (IL)
1610 LUTHER LN, Park Ridge, IL 60068
Open in Google Maps ↗

Secondary Practice Locations 3

Location 11775 Ballard RdPark Ridge, IL 60068-1005 · Phone (847) 318-6920
Location 27505 Grand AveGurnee, IL 60031 · Phone (847) 265-4800 · Fax (847) 245-7070
Location 31285 Hartrey AveEvanston, IL 60202-1056 · Phone (847) 666-3494 · Fax (847) 868-8964

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Oscar Health.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. Shelly Verma D.o 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 ID4385949841
PECOS Enrollment IDI20180207001040
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

4

Medicare enrollment records show Shelly Verma reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lutheran General Hospital
0.2 mi
Cardiovascular Disease
1775 DEMPSTER ST
Park Ridge, IL 60068
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Advocate Health And Hospitals Corporation
  • 4,870 clinicians in this Medicare group
NPI 1801809306 (847) 723-2210
Erie Family Health Center Inc
7.6 mi
Federally Qualified Health Center (FQHC)
1285 HARTREY
Evanston, IL 60202
  • Reassigned Medicare billing, Illinois enrollment
  • 383 clinicians in this Medicare group
NPI 1629328836 (312) 666-3494
Endeavor Health Medical Group
8.7 mi
Allergy & Immunology
1000 CENTRAL ST
Evanston, IL 60201
  • Reassigned Medicare billing, Illinois enrollment
  • 4,841 clinicians in this Medicare group
NPI 1497701882 (847) 570-5235
Amg Illinois Ltd
22 mi
Internal Medicine
45 TOWER CT, SUITE C
Gurnee, IL 60031
  • Reassigned Medicare billing, Illinois enrollment
  • 62 clinicians in this Medicare group
NPI 1972741759 (847) 623-3200

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 5

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

Katherine Shaw Bethea Hospital

Acute Care Hospitals · Dixon, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140012
Location403 E 1st StDixon, IL 61021 · Lee County
Emergency services Birthing friendly

Advocate Sherman Hospital

Acute Care Hospitals · Elgin, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140030
Location1425 North Randall RoadElgin, IL 60123 · Kane County
Emergency services Birthing friendly

Advocate Condell Medical Center

Acute Care Hospitals · Libertyville, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140202
Location801 S Milwaukee AveLibertyville, IL 60048 · Lake County
Emergency services Birthing friendly

Advocate Lutheran General Hospital

Acute Care Hospitals · Park Ridge, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140223
Location1775 Dempster StPark Ridge, IL 60068 · Cook County
Emergency services Birthing friendly

Northwestern Medicine Central Dupage Hospital

Acute Care Hospitals · Winfield, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140242
Location25 North Winfield RoadWinfield, IL 60190 · Du Page County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60068 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
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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.

Other Providers at the Same Location NPPES 10

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

MRS. BRITTANY NICOLE ANDERSON LCSW
Social Worker (Clinical)
1610 LUTHER LN
PARK RIDGE, IL 60068
Cook County (847) 318-2303
DR. HANNAH ELIZABETH GRAHAM MD
Family Medicine
1610 LUTHER LN
PARK RIDGE, IL 60068
Cook County (847) 318-2303
DR. BRIAN ALLEN CHICOINE MD
Family Medicine
1610 LUTHER LN
PARK RIDGE, IL 60068
Cook County (847) 318-2303
DENISE CASEY PSYD
Psychologist (Clinical)
1610 LUTHER LN
PARK RIDGE, IL 60068
Cook County (847) 795-3143
ABIGAIL ROWLEY LCSW
Social Worker (Clinical)
1610 LUTHER LN
PARK RIDGE, IL 60068
Cook County (847) 318-2377
DR. ERIN BETH DOMINIAK M.D.
Family Medicine
1610 LUTHER LN
PARK RIDGE, IL 60068
Cook County (847) 318-2303
LOUISE M FOY LCPC
Counselor (Professional)
1610 LUTHER LN
PARK RIDGE, IL 60068
Cook County (847) 795-3100
MR. ROSS D PETERSON
Counselor (Professional)
1610 LUTHER LN
PARK RIDGE, IL 60068
Cook County (847) 795-3166

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 Shelly Verma's NPI number?

The NPI number for Shelly Verma is 1912325796. It was assigned to this individual provider in the NPPES registry on March 31, 2014.

Where is Shelly Verma located?

Shelly Verma practices at 1610 Luther Ln, Park Ridge, IL 60068. The listed phone number is (847) 318-2303.

What is Shelly Verma's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Shelly Verma enrolled in Medicare?

Yes. Shelly Verma 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 Shelly Verma's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shelly Verma reassigns Medicare benefits to 4 organizations: Lutheran General Hospital (Park Ridge, IL), Erie Family Health Center Inc (Evanston, IL), Endeavor Health Medical Group (Evanston, IL) and Amg Illinois Ltd (Gurnee, IL). 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 Shelly Verma's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shelly Verma accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Shelly Verma 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 Shelly Verma affiliated with any hospitals?

According to CMS data, Shelly Verma is affiliated with Katherine Shaw Bethea Hospital, Advocate Sherman Hospital, Advocate Condell Medical Center, Advocate Lutheran General Hospital and Northwestern Medicine Central Dupage Hospital.

When was this NPI record last updated?

The NPPES record for Shelly Verma was last updated on February 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.