Dr Shawn Kothari, MD - Medicare Internal Medicine in Chicago, IL

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Dr Shawn Kothari, MD is a medicare enrolled "Internal Medicine" physician in Chicago, Illinois. His current practice location is 5841 S Maryland Ave, Chicago, Illinois. You can reach out to his office (for appointments etc.) via phone at (773) 702-6840.

Dr Shawn Kothari is licensed to practice in Illinois (license number 125068590) 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 1457709404.

Contact Information

Dr Shawn Kothari, MD
5841 S Maryland Ave,
Chicago, IL 60637-1447
(773) 702-6840
(773) 702-2230

Map and Direction




Physician's Profile

Full NameDr Shawn Kothari
GenderMale
SpecialityInternal Medicine
Location5841 S Maryland 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: 1457709404
  • Provider Enumeration Date: 06/01/2016
  • Last Update Date: 04/03/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 9830481233
  • Enrollment ID: I20220701000058

Medical Identifiers

Medical identifiers for Dr Shawn Kothari such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1457709404NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 125068590 (Illinois)Primary
207RH0000XInternal Medicine - Hematology 91582 (Georgia)Secondary
207RH0003XInternal Medicine - Hematology & Oncology 036169066 (Illinois)Secondary

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 Shawn Kothari allows following entities to bill medicare on his behalf.
Entity NameThe Emory Clinic Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396798229
PECOS PAC ID: 8820901408
Enrollment ID: O20031110000503

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 Shawn Kothari 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
Dr Shawn Kothari, MD
180 Harvester Dr, Suite 110,
Burr Ridge, IL 60527-7594

Ph: (773) 702-1150		Dr Shawn Kothari, MD
5841 S Maryland Ave,
Chicago, IL 60637-1447

Ph: (773) 702-6840

Reviews and Comments


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Alexandra Dumitrescu,
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Dr. Marta Batus, MD
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Practice Location: 1725 W Harrison St, Suite 809, Chicago, IL 60612
Phone: 312-563-2487    Fax: 312-942-3192

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.