Mohamed Ihtesham Shaji, MD - Medicare Internal Medicine in Chicago, IL

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Mohamed Ihtesham Shaji, MD is a medicare enrolled "Internal Medicine - Adolescent Medicine" physician in Chicago, Illinois. He graduated from medical school in 2011 and has 14 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Columbia St Marys Hospital Milwaukee Inc, Ascension Calumet Hospital Inc, Ascension Medical Group-southeast Wisconsin Inc and his current practice location is 4646 N Marine Dr, Chicago, Illinois. You can reach out to his office (for appointments etc.) via phone at (773) 564-7400.

Mohamed Ihtesham Shaji is licensed to practice in Illinois (license number 125.069826) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1194248914.

Contact Information

Mohamed Ihtesham Shaji, MD
4646 N Marine Dr,
Chicago, IL 60640-5759
(773) 564-7400
Not Available

Map and Direction




Physician's Profile

Full NameMohamed Ihtesham Shaji
GenderMale
SpecialityInternal Medicine
Experience14 Years
Location4646 N Marine Dr, Chicago, Illinois
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mohamed Ihtesham Shaji graduated from medical school in 2011
  NPI Data:
  • NPI Number: 1194248914
  • Provider Enumeration Date: 07/24/2017
  • Last Update Date: 08/15/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 1557633203
  • Enrollment ID: I20200528000875

Medical Identifiers

Medical identifiers for Mohamed Ihtesham Shaji such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194248914NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RA0000XInternal Medicine - Adolescent Medicine 125.069826 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Ascension Se Wisconsin Hospital - St Joseph CampusMilwaukee, WIHospital
Ascension Columbia St Mary's Hospital MilwaukeeMilwaukee, WIHospital
Ascension Calumet HospitalChilton, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Columbia St Marys Hospital Milwaukee Inc5890604722299
Ascension Calumet Hospital Inc741694842714
Ascension Medical Group-southeast Wisconsin Inc8628980943505

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mohamed Ihtesham Shaji allows following entities to bill medicare on his behalf.
Entity NameAscension Medical Group-southeast Wisconsin Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609881077
PECOS PAC ID: 8628980943
Enrollment ID: O20031104000421
Entity NameColumbia St Marys Hospital Milwaukee Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023064482
PECOS PAC ID: 5890604722
Enrollment ID: O20031105000057
Entity NameAscension Calumet Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376541748
PECOS PAC ID: 7416948427
Enrollment ID: O20040809000191

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mohamed Ihtesham Shaji is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mohamed Ihtesham Shaji, MD
Dept Of Gme, 4646 N Marine Dr, 7th Fl Ste 7100,
Chicago, IL 60640-5759

Ph: () -		Mohamed Ihtesham Shaji, MD
4646 N Marine Dr,
Chicago, IL 60640-5759

Ph: (773) 564-7400

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.