Mirshed Medical Center S C
NPI 1083880637 · Internal Medicine Physician · Chicago, IL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mirshed Medical Center S C is a Internal Medicine Physician organization in Chicago, IL (NPI 1083880637).
Provider details
- NPI number
- 1083880637
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Nayeh Mirshed, Executive Director(773) 424-4048
- License
- 036-091913 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2008-05-05
- Last updated
- 2008-11-05
Frequently asked questions
- What is Mirshed Medical Center S C's NPI number?
- Mirshed Medical Center S C's National Provider Identifier (NPI) is 1083880637, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mirshed Medical Center S C?
- Mirshed Medical Center S C is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Mirshed Medical Center S C located?
- Mirshed Medical Center S C's practice location on file with NPPES is 4255 W 63rd St, Chicago, IL 60629-5041.
- What is Mirshed Medical Center S C's phone number?
- The practice phone number listed in the NPPES registry for Mirshed Medical Center S C is (773) 424-4048.
- Does Mirshed Medical Center S C accept Medicare?
- Mirshed Medical Center S C is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Mirshed Medical Center S C?
- The authorized official listed on Mirshed Medical Center S C's NPPES record is Nayeh Mirshed, Executive Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mirshed Medical Center S C's NPI active?
- Yes — Mirshed Medical Center S C's NPI (1083880637) is active in the NPPES registry as of the last update on 2008-11-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.