KEVIN SHI – Interventional Pain Medicine Physician, NPI 1922635697
Interventional Pain Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
309 INTERVENTIONAL PAIN MANAGEMENT in IL
Provider Addresses for KEVIN SHI
1725 W HARRISON ST STE 550
CHICAGO, IL 606123846
Phone: (312) 942-6631
Type: Mailing
600 S PAULINA ST
CHICAGO, IL 606123806
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 19 Open Payments records for all available years, with a total value of $1,400.
Total Amount is formed as General ($1,400) + Research ($0) + Ownership ($0) = $1,400.
Last reported payment date: 2024-12-06 • Largest payer in this snapshot: Boston Scientific Corporation ($280).
Total Amount
$1,400
General + Research + Ownership
Payments
19
Total payment records
General Amount
$1,400
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $280 |
| Nevro Corp. | $234 |
| MML US, Inc. | $170 |
| PAINTEQ LLC | $156 |
| ABBVIE INC. | $140 |
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: 2025-08-05
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 |
|---|---|---|---|---|
| I20250721001384 | I | Anesthesiology | IL | TBD |
| I20250805001996 | I | Interventional Pain Management | 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 |
|---|---|---|
| Interventional Pain Management, Anesthesiology, Pain Management | IL | |
| Physician Assistant | IL | |
| Interventional Pain Management, Anesthesiology, Pain Management | IL | |
| Physician Assistant | IL | |
| A N E S T H E S I O L O G Y | IL | |
| Physician Assistant | PA | |
| - | IL | |
| Interventional Pain Management, Anesthesiology | AR |
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