SHADI MARINA (M.D.) – Internal Medicine Physician, NPI 1972764041

SHADI MARINA (M.D.) is a healthcare provider. based in Rockford, Illinois. specializing in HOSPITALIST, INTERNAL MEDICINE, INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. FM1299038 (IL). The NPI Number for SHADI MARINA (M.D.) is 1972764041

Main info

Male
23 Years Of Experience
Accepts Medicare Assignment
Name
SHADI MARINA (M.D.)
NPI
1972764041
Phone
(847) 708-5156
Address
6526 SPRING BROOK RD APT 306
Enumeration Date
21 June 2008
Last Update Date
15 September 2009

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3124049818
Graduation Year
2003 (23 years ago)
PAC ID
5496809428
Group Practice PAC ID
1456660323
Professional Enrollment ID
I20090811000120
Address ID
IL601929700HO2815XAVEX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

2,390 HOSPITALIST in IL

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Provider Addresses for SHADI MARINA (M.D.)

  • 6526 SPRING BROOK RD APT 306

    ROCKFORD, IL 611148130

    Phone: (847) 708-5156

    Type: Mailing

  • Swedish-American Hospital, 1401, East State Street, Rockford, Winnebago County, Illinois, 61104, United States

    ROCKFORD, IL 611042315

    Phone: (815) 968-4400

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $218.

Total Amount is formed as General ($218) + Research ($0) + Ownership ($0) = $218.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Salix Pharmaceuticals, a division of Bausch Health US, LLC ($62).

Total Amount

$218

General + Research + Ownership

Payments

10

Total payment records

General Amount

$218

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

View all Open Payments →|Open Payments Risk Radar →

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: 2015-07-24

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090811000120IHospitalistILTBD
I20150724009775IInternal MedicineWITBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes1,496580$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes477263$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes228227$0
99239Hospital discharge day management, more than 30 minutes164162$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes123121$0
View full utilization report →

Insurance plans in this area (ZIP 61114)

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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: 1456660323View full group profile
NameSpecialtyState
Internal Medicine, Hospitalist, Internal MedicineIL
Hospitalist, Internal MedicineMI
Internal MedicineIL

Reviews

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Frequently asked questions

What NPI should I save for SHADI MARINA (M.D.)?
Save NPI 1972764041 if you need a stable reference for SHADI MARINA (M.D.).
Is SHADI MARINA (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does SHADI MARINA (M.D.) treat or focus on?
Patients typically see SHADI MARINA (M.D.) under the specialty Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is SHADI MARINA (M.D.)'s primary listing?
We display Rockford, Illinois because that is what the record indicates for SHADI MARINA (M.D.).
Is SHADI MARINA (M.D.) a real provider?
This page reflects official NPPES data for NPI 1972764041. Always confirm identity and privileges with the practice and licensing boards.

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