DR. SHOAIB A MEMON (M.D) – Behavioral Neurology & Neuropsychiatry Physician, NPI 1821248741
Behavioral Neurology & Neuropsychiatry Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,367 PSYCHIATRY in IL
Loading map...
Provider Addresses for DR. SHOAIB A MEMON (M.D)
The Corner Bakery, 676, North Saint Clair Street, Streeterville, Near North Side, Chicago, Cook County, Illinois, 60611, United States
SUITE 945
CHICAGO, IL 606112927
Phone: (312) 695-9627
Fax: (312) 695-6072
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
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: 2012-09-26
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-09-30 (982 days ago).
Enrollment records
1
Earliest due date
2023-09-30
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 |
|---|---|---|---|---|
| I20120926000150 | I | Psychiatry | IL | 2023-09-30 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 60611)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Endocrinology, Internal Medicine | IL | |
| N E U R O S U R G E R Y | IL | |
| Nurse Practitioner | IL | |
| - | IL | |
| Gastroenterology, Internal Medicine | CT | |
| Internal Medicine | IL | |
| Internal Medicine | IL | |
| - | IL | |
| Interventional Cardiology, Internal Medicine, Cardiovascular Disease (Cardiology) | IL | |
| - | CA |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.