Active NPIIndividual provider

Shishira S Bharadwaj, MD

Internal Medicine, Gastroenterology in Maywood, Illinois

NPI Number1457587172
Practice location
2160 S 1ST Ave, Maywood, IL 60153-3328
Fax
—
Last updated
July 15, 2026

Shishira S Bharadwaj is an Internal Medicine, Gastroenterology based in Maywood, IL. Shishira S Bharadwaj practices in Maywood, IL and has the professional credentials of MD. The NPI Number for Shishira S Bharadwaj is 1457587172 and holds a License No. MD28709 (ME). The current practice location address for Shishira S Bharadwaj is 2160 S 1ST Ave, Maywood, IL 60153-3328 and can be reached out via phone at 708-216-9000.

Provider Profile Details

NPI Number
1457587172
Provider Name
Shishira S Bharadwaj
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2160 S 1ST Ave, Maywood, IL 60153-3328
Phone Number
708-216-9000
Primary Taxonomy
Internal Medicine, Gastroenterology · 207RG0100X
Sole Proprietor
No
Provider Enumeration Date
June 9, 2009
Last Update Date
July 15, 2026
Certification Date
July 15, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
2160 S 1ST Ave
Maywood, IL 60153-3328
Zip
60153-3328
Phone Number
708-216-9000
Maywood, IL 60153Get directions →

Provider Business Mailing Address Details

Address
2490 S Woodworth Loop Ste 200
Palmer, AK 99645-7410
City
Palmer
State
AK
Zip
99645-7410
Phone Number
630-639-2544

License Information

License Number (1)
MD28709
License State (1)
ME
Taxonomy (1)
Internal Medicine, Gastroenterology · 207RG0100X
License Number (2)
A156145
License State (2)
CA
Taxonomy (2)
Internal Medicine, Gastroenterology · 207RG0100X
License Number (3)
036154430
License State (3)
IL
Taxonomy (3)
Internal Medicine, Gastroenterology · 207RG0100X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Shishira S Bharadwaj, MD?

The NPI number of Shishira S Bharadwaj, MD is 1457587172. It was assigned on June 9, 2009 and is currently active in the NPPES registry.

What is the specialty of Shishira S Bharadwaj, MD?

Shishira S Bharadwaj, MD is registered under the primary taxonomy Internal Medicine, Gastroenterology (code 207RG0100X), licensed in ME under license number MD28709.

Where does Shishira S Bharadwaj, MD practice?

The practice location is 2160 S 1ST Ave, Maywood, IL 60153-3328. The office can be reached at 708-216-9000 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1457587172 directly on the NPPES registry website.

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