SHADEE TAJIK
NPI 1942949870
Internal Medicine in Springfield, IL
About Shadee Tajik NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHADEE TAJIK (NPI 1942949870) is an individual internal medicine provider in Springfield, Illinois, licensed in Illinois (036.174160) and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS, is affiliated with Memorial Medical Center, and maintains a secondary practice location in Braselton.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Shadee Tajik 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.
Medicare Billing Reassignments
3Medicare enrollment records show Shadee Tajik reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Springfield, IL 62702
- Reassigned Medicare billing, Illinois enrollment
- 645 clinicians in this Medicare group
Springfield, IL 62702
- Reassigned Medicare billing, Illinois enrollment
- 262 clinicians in this Medicare group
Gainesville, GA 30501
- Reassigned Medicare billing, Georgia enrollment
- 1,172 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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Memorial Medical Center
Acute Care Hospitals · Springfield, ILJacksonville Memorial Hospital
Critical Access Hospitals · Jacksonville, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 62702 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Shadee Tajik's NPI number?
The NPI number for Shadee Tajik is 1942949870. It was assigned to this individual provider in the NPPES registry on May 31, 2022.
Where is Shadee Tajik located?
Shadee Tajik practices at 751 N Rutledge St Rm 1100, Springfield, IL 62702. The listed phone number is (217) 545-8000.
What is Shadee Tajik's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Shadee Tajik enrolled in Medicare?
Yes. Shadee Tajik 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 Shadee Tajik's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shadee Tajik reassigns Medicare benefits to 3 organizations: Siu Physicians & Surgeons, Inc (Springfield, IL), Board Of Trustees Of Southern Illinois University (Springfield, IL) and Northeast Georgia Physicians Group Inc (Gainesville, GA). 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 Shadee Tajik's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Shadee Tajik affiliated with any hospitals?
According to CMS data, Shadee Tajik is affiliated with Memorial Medical Center and Jacksonville Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Shadee Tajik was last updated on June 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Shadee Tajik · NPI 1942949870
Internal Medicine physician in Springfield, Illinois. Individual provider, active in the CMS NPPES registry since May 31, 2022.
## Identity
- **NPI:** 1942949870 (Entity type: Individual)
- **Enumerated:** May 31, 2022
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 036.174160 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 751 N RUTLEDGE ST RM 1100, Springfield, IL 62702-4968
- **Phone:** (217) 545-8000 · **Fax:** (217) 545-4735
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Siu Physicians & Surgeons, Inc (NPI 1558385989, Springfield, IL); Board Of Trustees Of Southern Illinois University (NPI 1396097960, Springfield, IL); Northeast Georgia Physicians Group Inc (NPI 1891745212, Gainesville, GA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** June 9, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1942949870) · Data from the CMS NPPES public registry.