Dr Deepti Shivakumar, MD in Melrose Park, IL

Dr Deepti Shivakumar, MD is a medicare enrolled "Family Medicine" physician in Melrose Park, Illinois. She graduated from medical school in 2001 and has 23 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Loyola University Medical Center and her current practice location is 675 W North Ave, Suite 416, Melrose Park, Illinois. You can reach out to her office (for appointments etc.) via phone at (708) 681-7818.

Dr Deepti Shivakumar is licensed to practice in Illinois (license number 036128856) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1023221157.

Contact Information

	Dr Deepti Shivakumar, MD
	675 W North Ave, Suite 416, Melrose Park, IL 60160-1634
	(708) 681-7818
	(708) 681-7903

Map and Direction

Physician's Profile

Full Name	Dr Deepti Shivakumar
Gender	Female
Speciality	Family Practice
Experience	23 Years
Location	675 W North Ave, Melrose Park, Illinois
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Deepti Shivakumar graduated from medical school in 2001

NPI Data:

NPI Number: 1023221157
Provider Enumeration Date: 05/07/2007
Last Update Date: 05/03/2021

Medicare PECOS Information:

PECOS PAC ID: 3476648577
Enrollment ID: I20111103000378

Medical Identifiers

Medical identifiers for Dr Deepti Shivakumar such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023221157	NPI	-	NPPES
0000269233	Other	HI	HMSA BILLING NUMBER
59958-01	Medicaid	HI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	036128856 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Gottlieb Memorial Hospital	Melrose park, IL	Hospital
Loyola University Medical Center	Maywood, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Loyola University Medical Center	3779488903	857

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. Dr Deepti Shivakumar allows following entities to bill medicare on her behalf.

Entity Name	Loyola University Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1336159961 PECOS PAC ID: 3779488903 Enrollment ID: O20031202000027

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. Dr Deepti Shivakumar 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 Address	Practice Location Address
Dr Deepti Shivakumar, MD 675 W North Ave, Suite 416, Melrose Park, IL 60160-1634 Ph: (708) 681-7818	Dr Deepti Shivakumar, MD 675 W North Ave, Suite 416, Melrose Park, IL 60160-1634 Ph: (708) 681-7818

Reviews and Comments

Family Medicine Doctors in Melrose Park, IL

Nicholas G Recchia, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1111 Superior St, Suite 304, Melrose Park, IL 60160 Phone: 708-786-7100 Fax: 708-786-7101
Dr. Yolanda Cardenas, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1111 Superior St Ste 101, Melrose Park, IL 60160 Phone: 708-406-3040 Fax: 708-406-3059
Dr. Tamayo Kawai, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1111 Superior St Ste 101, Melrose Park, IL 60160 Phone: 708-406-3040
Joseph L Giacchino Jr., MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1252 Winston Plaza, Melrose Park, IL 60160 Phone: 708-343-2500 Fax: 708-343-9545
Mahnaz Jeelani Ali, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1111 Superior St, Suite 207, Melrose Park, IL 60160 Phone: 708-406-3040 Fax: 708-406-3053
Christabelle Andrea B Cabanilla, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1111 Superior St, 101, Melrose Park, IL 60160 Phone: 708-406-3040 Fax: 708-406-3059

Dr Deepti Shivakumar, MD - Medicare Family Practice in Melrose Park, IL