DR. EJAZ SHAMIM (MD) – Diagnostic Radiology Physician, NPI 1548251069
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,123 DIAGNOSTIC RADIOLOGY in IL
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Provider Addresses for DR. EJAZ SHAMIM (MD)
9224, Nagle Avenue, Morton Grove, Niles Township, Cook County, Illinois, 60053, United States
MORTON GROVE, IL 600531428
Phone: (847) 966-7917
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $18.
Total Amount is formed as General ($18) + Research ($0) + Ownership ($0) = $18.
Last reported payment date: 2023-02-22 • Largest payer in this snapshot: Siemens Medical Solutions USA, Inc. ($18).
Total Amount
$18
General + Research + Ownership
Payments
1
Total payment records
General Amount
$18
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-02-22
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Siemens Medical Solutions USA, Inc. | $18 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-12-18
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20070108000416 | I | Diagnostic Radiology | IL | TBD |
| I20241218001385 | I | Diagnostic Radiology | WI | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 71045 | X-ray of chest, 1 view | 135 | 111 | $0 |
| 74177 | Ct scan of abdomen and pelvis with contrast | 113 | 106 | $0 |
| 71046 | X-ray of chest, 2 views | 89 | 87 | $0 |
| 74176 | Ct scan of abdomen and pelvis without contrast | 83 | 79 | $0 |
| 71250 | Ct scan of chest without contrast | 67 | 66 | $0 |
Insurance plans in this area (ZIP 60053)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | MO | |
| - | WI | |
| Diagnostic Radiology | WI | |
| Diagnostic Radiology | WI | |
| - | TX | |
| Diagnostic Radiology | MI | |
| - | WI |
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