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

Vidya Shivakumar, MD

Individual provider Dermatology Physician · NPI 1558636647

Vidya Shivakumar, MD is a Dermatology in Chicago, Illinois. Graduated from Rush Medical College of Rush University in 2011, 15 years ago. Practices with Rush University Medical Group, a 1,499-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
15
Trained at
Rush Medical College of Rush University
Licensed in
IL
In the registry since
2012
Specialties on file
2
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

839 W Madison St
Chicago, IL 60607-2631
Phone: (312) 455-3500
Fax: (312) 455-3502
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 036137305 (IL)
Dermatology Physician Taxonomy 207N00000X · Licence 125.059296 (IL)

Record details

NPI number1558636647
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 21, 2012
Last updated in NPPESJanuary 16, 2024
Certification dateJanuary 9, 2024

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Medical schoolRUSH MEDICAL COLLEGE OF RUSH UNIVERSITY
Graduated 2011 (15 years in practice)
Group practice Rush University Medical Group — 1499 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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