Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Shawn Kothari, MD

Individual provider Internal Medicine Physician · NPI 1457709404

Dr. Shawn Kothari, MD is a Hematology/Oncology in Chicago, Illinois. Qualified in 2016, 10 years ago. Practices with Northwestern Medical Faculty Foundation, a 4,394-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Georgia and Illinois.

Years since qualifying
10
Licensed in
GA, IL
In the registry since
2016
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

5841 S Maryland Ave
Chicago, IL 60637-1447
Phone: (773) 702-6840
Fax: (773) 702-2230
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4405 Weaver Pkwy, Warrenville, IL 60555-3269 — (630) 352-5450

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 125068590 (IL)
Hematology (Internal Medicine) Physician Taxonomy 207RH0000X · Licence 91582 (GA)
Hematology & Oncology Physician Taxonomy 207RH0003X · Licence 036169066 (IL)

Record details

NPI number1457709404
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 1, 2016
Last updated in NPPESApril 3, 2024
Certification dateApril 3, 2024
Mailing address180 Harvester Dr, Suite 110, Burr Ridge, IL 60527-7594

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyHEMATOLOGY/ONCOLOGY
Also practisesINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Northwestern Medical Faculty Foundation — 4394 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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