SHAKIL A. KARIM (D.O.) – Gastroenterology Physician, NPI 1720039019
Gastroenterology Physician
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NPPES metrics only — not quality of care.
978 GASTROENTEROLOGY in IL
Provider Addresses for SHAKIL A. KARIM (D.O.)
3700 W 203rd St Ste 302
Olympia Fields, IL 604611182
Phone: (101) 020-1670
Type: Location
1000 N Oak Ave
Marshfield, WI 544495703
Phone: (715) 387-5511
Type: Location
1320 W Main St
Newark, OH 430551822
Phone: (220) 564-4137
Fax: (220) 564-4119
Type: Location
1401 E STATE ST
ROCKFORD, IL 611042315
Phone: (779) 696-4200
Type: Location
PO BOX 781076
DETROIT, MI 482781076
Phone: (317) 528-4800
Type: Mailing
Licking Memorial Hospital, 1320, West Main Street, Newark, Licking County, Ohio, 43055, United States
NEWARK, OH 430551822
Phone: (220) 564-4137
Fax: (220) 564-4119
Type: Mailing
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.
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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: 2024-04-13
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
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 |
|---|---|---|---|---|
| I20181020000035 | I | Gastroenterology | TX | TBD |
| I20181219000909 | I | Gastroenterology | WI | TBD |
| I20221224000128 | I | Gastroenterology | IL | TBD |
| I20240413000304 | I | Gastroenterology | IN | 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 |
|---|---|---|---|---|
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 44 | 44 | $0 |
| 43235 | Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 31 | 30 | $0 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 30 | 30 | $0 |
| G0500 | Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito | 26 | 26 | $0 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 25 | 25 | $0 |
Insurance plans in this area (ZIP 60461)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Advanced Heart Failure And Transplant Cardiology, Cardiovascular Disease (Cardiology), Cardiovascular Disease (Cardiology), Internal Medicine | WI | |
| Thoracic Surgery, Cardiac Surgery | MI | |
| Physical Therapist In Private Practice | IL | |
| - | IL | |
| General Surgery | GA | |
| Internal Medicine | WI | |
| N E U R O S U R G E R Y | IL | |
| - | WI | |
| Orthopedic Surgery | WI | |
| Physician Assistant | WI |
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