Shaibal Mazumdar, MD - Medicare Internal Medicine in Chicago, IL

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Shaibal Mazumdar, MD is a medicare enrolled "Internal Medicine - Gastroenterology" physician in Chicago, Illinois. His current practice location is 11250 S Western Ave, Chicago, Illinois. You can reach out to his office (for appointments etc.) via phone at (888) 824-0200.

Shaibal Mazumdar is licensed to practice in Illinois (license number 036140216) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1093749566.

Contact Information

Shaibal Mazumdar, MD
11250 S Western Ave,
Chicago, IL 60643-4116
(888) 824-0200
Not Available

Map and Direction




Physician's Profile

Full NameShaibal Mazumdar
GenderMale
SpecialityInternal Medicine - Gastroenterology
Location11250 S Western Ave, Chicago, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1093749566
  • Provider Enumeration Date: 07/10/2006
  • Last Update Date: 09/16/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 2769406495
  • Enrollment ID: I20060120000802

Medical Identifiers

Medical identifiers for Shaibal Mazumdar such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093749566NPI-NPPES
34047200MedicaidWI
P00452798OtherWIRR MEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RG0100XInternal Medicine - Gastroenterology 036140216 (Illinois)Primary

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. Shaibal Mazumdar allows following entities to bill medicare on his behalf.
Entity NameAurora Medical Group, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427271378
PECOS PAC ID: 6709794258
Enrollment ID: O20031105000725
Entity NameAurora Advanced Healthcare, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265629133
PECOS PAC ID: 3375625833
Enrollment ID: O20080123000694

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. Shaibal Mazumdar 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
Shaibal Mazumdar, MD
150 Harvester Dr Ste 300,
Burr Ridge, IL 60527-5965

Ph: Not Available		Shaibal Mazumdar, MD
11250 S Western Ave,
Chicago, IL 60643-4116

Ph: (888) 824-0200

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.