SUSAN SHAW M.D.
NPI 1962486001
Specialist in Chicago, IL
NPI Status: Active since December 02, 2005
Contact Information
680 N LAKE SHORE DR
SUITE 824
CHICAGO, IL
ZIP 60611
Phone: (813) 890-8004
Fax: (813) 290-9691
- Individual
- Female
- Specialist
- PECOS Enrolled
About SUSAN SHAW
This page provides the complete NPI Profile along with additional information for Susan Shaw, a provider established in Chicago, Illinois with a medical specialization in Specialist. The healthcare provider is registered in the NPI registry with number 1962486001 assigned on December 2005. The practitioner's primary taxonomy code is 174400000X with license number 036098336 (IL). The provider is registered as an individual and her NPI record was last updated 4 years ago.
- NPI
- 1962486001
- Provider Name
- SUSAN SHAW M.D.
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 680 N LAKE SHORE DR SUITE 824 CHICAGO, IL 60611
- Location Phone
- (813) 890-8004
- Location Fax
- (813) 290-9691
- Mailing Address
- 680 N LAKE SHORE DR SUITE 824 CHICAGO, IL 60611
- Mailing Phone
- (813) 890-8004
- Mailing Fax
- (813) 290-9691
- Is Sole Proprietor?
- No
- Enumeration Date
- 12-02-2005
- Last Update Date
- 12-15-2021
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Specialist
- Taxonomy Code
- 174400000X
- Type
- Other Service Providers
- License No.
- 036098336
- License State
- IL
- Taxonomy Description
- An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Medicare Participation & PECOS Enrollment Status
Susan Shaw is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 9 | 6 | 2 | 4 | 8 | 6 | 0 | 0 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 9 | 12 | 2 | 8 | 8 | 12 | 0 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 9 + 1 + 2 + 2 + 8 + 8 + 1 + 2 + 0 + 0 + 24 = 59 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 59 = 1 | 1 | ||||||||
The NPI number 1962486001 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1669470936 | DR. MICHAEL A. RUCHIM M.D. Individual | Internal Medicine (Gastroenterology) | 680 N LAKE SHORE DR SUITE 118 CHICAGO, IL 60611 (312) 503-6000 |
| 1619977907 | ANNE R WOLFE PHD Individual | Psychologist (Clinical) | 680 N LAKE SHORE DR STE 304 CHICAGO, IL 60611 (312) 593-8027 |
| 1215939657 | SUPERIOR ORTHOPEDICS, INC. Organization | Durable Medical Equipment & Medical Supplies | 680 N LAKE SHORE DR SUITE 1207 CHICAGO, IL 60611 (312) 943-0386 |
| 1023001187 | PARUL GUPTA M.D. Individual | Specialist | 680 N LAKE SHORE DR #824 CHICAGO, IL 60611 (312) 943-3300 |
| 1932197134 | SHIREEN AHMAD MD Individual | Anesthesiology | 680 N LAKE SHORE DR SUITE 1000 CHICAGO, IL 60611 (312) 695-9797 |
| 1134117377 | MICHAEL ABECASSIS MD Individual | Transplant Surgery | 680 N LAKE SHORE DR SUITE 1000 CHICAGO, IL 60611 (312) 695-4022 |
| 1336138767 | SHUBHADA AHYA MD Individual | Internal Medicine (Nephrology) | 680 N LAKE SHORE DR SUITE 1000 CHICAGO, IL 60611 (312) 695-0596 |
| 1770573305 | JOSH LEVITSKY MD Individual | Internal Medicine (Gastroenterology) | 680 N LAKE SHORE DR SUITE 1000 CHICAGO, IL 60611 (312) 695-4022 |
| 1184614711 | ISSAM MIKATI MD Individual | Internal Medicine (Cardiovascular Disease) | 680 N LAKE SHORE DR SUITE 1000 CHICAGO, IL 60611 (312) 695-4022 |
| 1437149077 | DIANE NOVAK CCC-A Individual | Audiologist | 680 N LAKE SHORE DR SUITE 1000 CHICAGO, IL 60611 (312) 695-4022 |
| 1306836945 | ELIZA SHIN MD Individual | Radiology (Diagnostic Radiology) | 680 N LAKE SHORE DR SUITE 1000 CHICAGO, IL 60611 (312) 695-4022 |
| 1609866359 | ERIC BARTLETT MD Individual | Radiology (Diagnostic Radiology) | 680 N LAKE SHORE DR SUITE 1000 CHICAGO, IL 60611 (312) 695-4022 |
| 1730179482 | DOUGLAS SIDLE MD Individual | Otolaryngology (Facial Plastic Surgery) | 680 N LAKE SHORE DR SUITE 1000 CHICAGO, IL 60611 (312) 695-4022 |
| 1922098524 | MOHAMED S AFIFI MD Individual | Anesthesiology (Critical Care Medicine) | 680 N LAKE SHORE DR SUITE 1000 CHICAGO, IL 60611 (312) 695-9797 |
| 1326038712 | NIRMALA GONSALVES MD Individual | Internal Medicine (Gastroenterology) | 680 N LAKE SHORE DR SUITE 1000 CHICAGO, IL 60611 (312) 695-4022 |
| 1992795306 | STEWART SPIES MD Individual | Nuclear Medicine | 680 N LAKE SHORE DR SUITE 1000 CHICAGO, IL 60611 (312) 695-4022 |
| 1518957760 | YOLANDA ADLER MD Individual | Radiology (Diagnostic Radiology) | 680 N LAKE SHORE DR SUITE 1000 CHICAGO, IL 60611 (312) 695-4022 |
| 1578553822 | MURAD ALAM MD Individual | Dermatology | 680 N LAKE SHORE DR SUITE 1000 CHICAGO, IL 60611 (312) 695-6647 |
| 1306837695 | MR. DENNIS BYRON SOLT DMD Individual | Dentist (Oral and Maxillofacial Pathology) | 680 N LAKE SHORE DR NORTHWESTERN MEDICAL FACULTY FOUNDATION CHICAGO, IL 60611 (312) 503-1314 |
| 1194709477 | DANA LYNN BEN-DOV MD Individual | Internal Medicine | 680 N LAKE SHORE DR STE 818 CHICAGO, IL 60611 (312) 926-3627 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1962486001, enumerated in the NPI registry as an "individual" on December 02, 2005
The provider is located at 680 N Lake Shore Dr Suite 824 Chicago, Il 60611 and the phone number is (813) 890-8004
The provider's speciality is Specialist with taxonomy code 174400000X
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
This NPI record was last updated on December 02, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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