SHAHAAB UDDIN (M.D.) – Internal Medicine Physician, NPI 1669784872

SHAHAAB UDDIN (M.D.) is a healthcare provider. based in Oak park, Illinois. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 01073189B (IN). The NPI Number for SHAHAAB UDDIN (M.D.) is 1669784872

Main info

Male
Sole Proprietor
16 Years Of Experience
Accepts Medicare Assignment
Name
SHAHAAB UDDIN (M.D.)
NPI
1669784872
Phone
(708) 763-1222
Address
3 ERIE CT
Enumeration Date
6 July 2010
Last Update Date
8 February 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8728882444
Graduation Year
2010 (16 years ago)
PAC ID
1850526336
Group Practice PAC ID
6204201254
Professional Enrollment ID
I20230405002246
Address ID
IL601484164LO1XXXXAVEX400
Telehealth
Yes

Contacts

Secure Messaging
suddin135228@direct.nch.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness85
Years active:15State licenses:3Other namesUpdated within 12 months

3,511 INTERNAL MEDICINE in IN

Provider Addresses for SHAHAAB UDDIN (M.D.)

  • 3 ERIE CT

    SUITE L-700

    OAK PARK, IL 603022519

    Phone: (708) 763-1222

    Fax: (708) 763-1471

    Type: Mailing

  • 1850 STATE ST

    NEW ALBANY, IN 471504990

    Phone: (812) 944-7701

    Fax: (812) 981-6505

    Type: Location

  • 3 Erie Ct Ste L-700

    Oak Park, IL 603022519

    Phone: (708) 763-1222

    Fax: (708) 763-1471

    Type: Location

  • 2650 Ridge Ave

    Evanston, IL 602011700

    Phone: (847) 570-2000

    Type: Location

  • 800 W Central Rd

    Arlington Heights, IL 600052349

    Phone: (877) 635-9229

    Fax: (847) 618-3259

    Type: Location

  • 1S450 Summit Ave Ste 165

    Oakbrook Terrace, IL 601813952

    Phone: (630) 320-6871

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2023-04-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20131109000440IInternal MedicineINTBD
I20150316001253IHospitalistILTBD
I20230405002246IInternal MedicineILTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes32847$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes14329$0
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes14138$0
99497Advance care planning, first 30 minutes8271$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes7047$0
View full utilization report →

Insurance plans in this area (ZIP 60302)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6204201254View full group profile
NameSpecialtyState
Nurse PractitionerIL

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Frequently asked questions

What is the standard ID for SHAHAAB UDDIN (M.D.) in the U.S.?
In the U.S., SHAHAAB UDDIN (M.D.) is identified by NPI 1669784872.
Is SHAHAAB UDDIN (M.D.)'s NPI status active today?
Active status means SHAHAAB UDDIN (M.D.)'s NPI record is not deactivated in the public file.
What type of care does SHAHAAB UDDIN (M.D.) provide?
SHAHAAB UDDIN (M.D.)'s profile centers on Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Can patients visit SHAHAAB UDDIN (M.D.) in Oak Park, Illinois?
For routing, start with Oak Park, Illinois for SHAHAAB UDDIN (M.D.), then verify phone and hours locally.
Who maintains SHAHAAB UDDIN (M.D.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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