DR. SHAUN T ITTIARA (M.D.) – Retina Specialist (Ophthalmology) Physician, NPI 1992995542

DR. SHAUN T ITTIARA (M.D.) is a healthcare provider. based in Chicago, Illinois. specializing in OPHTHALMOLOGY. They hold the professional credentials M.D.. They hold a License No. 036127360 (IL). The NPI Number for DR. SHAUN T ITTIARA (M.D.) is 1992995542

Main info

Male
19 Years Of Experience
Accepts Medicare Assignment
Name
DR. SHAUN T ITTIARA (M.D.)
NPI
1992995542
Phone
(773) 702-3937
Address
5758 S. Maryland Ave
Enumeration Date
30 July 2007
Last Update Date
5 July 2023

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7084222665
Graduation Year
2007 (19 years ago)
PAC ID
4284870460
Group Practice PAC ID
4385721588
Professional Enrollment ID
I20130412000314
Address ID
IL604532625OA4429XSTXX400

Contacts

Secure Messaging
shaun.ittiara@direct.ccprovider.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness85
Years active:18State licenses:2Other namesUpdated within 12 months

958 OPHTHALMOLOGY in IL

Provider Addresses for DR. SHAUN T ITTIARA (M.D.)

  • 5758 S. Maryland Ave

    DCAM Eye Center

    Chicago, IL 60637

    Phone: (773) 702-3937

    Type: Location

  • 4429 W 95th St

    Oak Lawn, IL 604532625

    Phone: (708) 442-2665

    Fax: (708) 422-2997

    Type: Location

  • 3241 S Michigan Ave

    Chicago, IL 606164201

    Phone: (312) 949-7221

    Fax: (312) 949-7667

    Type: Location

  • Mercy Hospital & Medical Center, 2525, South Michigan Avenue, Near South Side, Chicago, Cook County, Illinois, 60616, United States

    8TH FLOOR EYE CENTER

    CHICAGO, IL 606162333

    Phone: (312) 567-2795

    Fax: (312) 567-8706

    Type: Mailing

  • PO BOX 166516

    CHICAGO, IL 606166516

    Phone: (312) 567-2795

    Fax: (800) 707-4890

    Type: Mailing

  • 2600 S MICHIGAN AVE STE 212

    CHICAGO, IL 606162859

    Phone: (312) 567-2795

    Fax: (800) 707-4890

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 43 Open Payments records for all available years, with a total value of $3,260.

Total Amount is formed as General ($3,260) + Research ($0) + Ownership ($0) = $3,260.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: EyePoint Pharmaceuticals US, Inc. ($1,787).

Total Amount

$3,260

General + Research + Ownership

Payments

43

Total payment records

General Amount

$3,260

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2020-10-16

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
I20130412000314IOphthalmologyILTBD
I20201016002662IOphthalmologyINTBD

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
J2777Injection, faricimab-svoa, 0.1 mg3,24124$0
92134Imaging of retina865417$0
92014Established patient complete exam of visual system824426$0
67028Injection of drug into eye299103$0
J7312Injection, dexamethasone, intravitreal implant, 0.1 mg19612$0
View full utilization report →

Insurance plans in this area (ZIP 60637)

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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: 4385721588View full group profile
NameSpecialtyState
O P H T H A L M O L O G YIL
O P H T H A L M O L O G YIL
O P H T H A L M O L O G YIL

Reviews

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Frequently asked questions

What federal number belongs to DR. SHAUN T ITTIARA (M.D.)?
The federal identifier for DR. SHAUN T ITTIARA (M.D.) is NPI 1992995542.
Is DR. SHAUN T ITTIARA (M.D.) currently active in the NPI registry?
CMS-published data lists DR. SHAUN T ITTIARA (M.D.) as an active registrant.
What kind of provider is DR. SHAUN T ITTIARA (M.D.)?
The page reflects Retina Specialist (Ophthalmology) Physician for DR. SHAUN T ITTIARA (M.D.). Clinical services aligned with this taxonomy classification.
Where is DR. SHAUN T ITTIARA (M.D.)'s primary listing?
We display Chicago, Illinois because that is what the record indicates for DR. SHAUN T ITTIARA (M.D.).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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