PRIYANKA SURESH SHASTRI (DO) – Internal Medicine Physician, NPI 1760986863
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
955 CRITICAL CARE (INTENSIVISTS) in IL
Provider Addresses for PRIYANKA SURESH SHASTRI (DO)
1740 W Taylor St
Chicago, IL 606127232
Phone: (866) 600-2273
Type: Location
50, Chestnut Terrace, Buffalo Grove, Lake County, Illinois, 60089, United States
BUFFALO GROVE, IL 600896621
Phone: (847) 668-4065
Type: Mailing
University of Illinois at Chicago Hospital (UICH), 1740, West Taylor Street, Near West Side, Illinois Medical District, Chicago, Illinois Medical District, Illinois, 60612, United States
CHICAGO, IL 606127232
Phone: (866) 600-2273
Type: Location
3601 W 13 MILE RD
ROYAL OAK, MI 480736712
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 13 Open Payments records for all available years, with a total value of $1,058.
Total Amount is formed as General ($1,058) + Research ($0) + Ownership ($0) = $1,058.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Medical Device Business Services, Inc. ($363).
Total Amount
$1,058
General + Research + Ownership
Payments
13
Total payment records
General Amount
$1,058
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2024-08-12
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
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 |
|---|---|---|---|---|
| I20240812001491 | I | Pulmonary Disease | IL | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 60612)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine, Critical Care (Intensivists) | IL | |
| Pulmonary Disease, Critical Care (Intensivists), Internal Medicine | IL | |
| Nurse Practitioner | IL | |
| Pulmonary Disease, Critical Care (Intensivists) | IL | |
| Pulmonary Disease, Critical Care (Intensivists) | IL | |
| Pulmonary Disease, Critical Care (Intensivists) | IL | |
| Critical Care (Intensivists), Pulmonary Disease | WI | |
| Critical Care (Intensivists), Pulmonary Disease | IL | |
| - | IL |
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