Active NPI 1174509020 Individual Practitioner Male Practitioner

Dr. Sheldon M Hirsch , MD

Internal Medicine - Nephrology • Chicago, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Sheldon Hirsch, MD is a certified Internal Medicine - Nephrology practicing in Chicago, IL. With approximately 45 years of clinical experience since completing medical education in 1981, Dr. Hirsch delivers high-quality medical care to the local community at 1717 S WABASH AVE.

Dr. Hirsch maintains professional affiliations with Rush University Medical Group, Lakeside Nephrology Ltd and accepts Medicare assignment.

Frequently performed procedures and clinical services include dialysis services, established patient outpatient office visit, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1717 S Wabash Ave

Chicago, IL 606161219

Telephone 3129130110

Fax 3129139154

Associated Practice Facility / Clinic

🏢 Dialysis Centers Of America - Illinois, Inc. Facility NPI 1700991551

Medicare Profile & Education

Medical School

Other

Graduation Year

1981

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine - Nephrology in Chicago, IL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

45 Yrs +19.5 yrs vs City Avg

City Avg: 25.5 Yrs

State Avg: 26.3 Yrs

Regional Practice Density

203 Specialists

Practicing in Chicago, IL (598 Statewide)

Telehealth Adoption Rate

25.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

6.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Hirsch (45 Years) 45 Yrs

Chicago Specialty Average (25.5 Years) 25.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	379	52	$369.62	$348.91
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	156	63	$184.68	$116.88
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	143	64	$16.05	$15.80
99231 Follow-up hospital inpatient care per day, typically 15 minutes	129	80	$51.65	$50.84
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	100	54	$81.46	$80.17
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	58	50	$139.87	$131.80
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	50	28	$122.52	$120.59
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	28	16	$300.28	$295.62
90970 Dialysis services, per day, less than full month service (20 years or older)	26	16	$9.61	$9.46
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	24	23	$178.81	$175.95
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	15	15	$228.23	$225.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	392	56	$378.17	$362.51
99231 Follow-up hospital inpatient care per day, typically 15 minutes	212	112	$50.65	$49.84
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	164	65	$167.17	$109.86
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	148	77	$81.65	$80.34
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	73	62	$140.72	$137.27
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	70	29	$318.90	$300.89
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	58	29	$121.19	$119.25
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	24	23	$192.39	$182.00
90970 Dialysis services, per day, less than full month service (20 years or older)	19	13	$10.13	$9.80
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	14	14	$216.65	$211.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	503	70	$385.17	$376.92
99231 Follow-up hospital inpatient care per day, typically 15 minutes	204	129	$41.53	$41.11
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	171	63	$194.77	$190.00
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	134	81	$75.73	$74.87
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	88	48	$316.45	$313.54
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	77	46	$108.72	$107.29
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	58	45	$144.61	$143.06
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	57	53	$211.04	$208.53
90970 Dialysis services, per day, less than full month service (20 years or older)	45	23	$10.28	$10.09
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	25	25	$239.27	$237.49
90962 Dialysis services, 1 physician visit per month (20 years or older)	17	13	$216.51	$214.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	558	79	$381.91	$386.72
99231 Follow-up hospital inpatient care per day, typically 15 minutes	185	121	$40.69	$41.07
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	144	66	$76.18	$77.01
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	130	51	$193.38	$195.41
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	89	45	$109.54	$110.78
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	80	37	$315.93	$319.92
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	50	46	$212.01	$214.04
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	47	47	$144.59	$146.37
90970 Dialysis services, per day, less than full month service (20 years or older)	39	19	$10.24	$10.37
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	16	16	$251.45	$228.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	628	76	$308.86	$306.10
99231 Follow-up hospital inpatient care per day, typically 15 minutes	210	126	$43.27	$42.97
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	197	98	$78.30	$78.55
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	164	68	$111.81	$112.54
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	100	42	$122.65	$121.56
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	89	84	$220.11	$219.50
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	79	40	$255.20	$257.23
90970 Dialysis services, per day, less than full month service (20 years or older)	72	30	$8.39	$8.47
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	49	49	$148.14	$149.35
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	16	$84.53	$84.73
99213 Established patient office or other outpatient visit, typically 15 minutes	19	13	$133.00	$80.89
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	11	11	$182.71	$184.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	669	98	$315.07	$300.86
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	177	57	$122.15	$120.50
99231 Follow-up hospital inpatient care per day, typically 15 minutes	120	92	$43.18	$42.17
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	106	73	$78.34	$77.56
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	105	55	$112.94	$110.77
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	89	46	$259.07	$252.79
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	82	68	$148.15	$146.73
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	75	69	$217.97	$215.78
99213 Established patient office or other outpatient visit, typically 15 minutes	53	29	$133.00	$78.77
90970 Dialysis services, per day, less than full month service (20 years or older)	51	25	$8.39	$8.31
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	17	$89.51	$85.22
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	11	11	$182.71	$181.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	875	120	$308.90	$297.88
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	168	63	$112.44	$110.63
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	168	95	$78.88	$77.27
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	132	55	$155.40	$153.11
99231 Follow-up hospital inpatient care per day, typically 15 minutes	108	71	$42.54	$41.86
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	103	57	$254.89	$250.89
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	99	82	$219.36	$215.88
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	82	70	$148.38	$146.04
90970 Dialysis services, per day, less than full month service (20 years or older)	59	24	$9.73	$8.25
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	33	26	$114.93	$113.27
99213 Established patient office or other outpatient visit, typically 15 minutes	22	16	$130.50	$76.83
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	16	16	$224.09	$220.64
90962 Dialysis services, 1 physician visit per month (20 years or older)	13	12	$196.76	$193.61
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	11	11	$79.00	$46.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	938	130	$303.06	$298.29
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	217	114	$78.03	$76.43
99231 Follow-up hospital inpatient care per day, typically 15 minutes	165	115	$43.51	$41.95
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	137	66	$114.26	$110.86
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	126	50	$154.92	$152.74
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	102	54	$254.58	$250.64
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	85	75	$219.46	$216.01
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	75	67	$148.70	$146.32
90970 Dialysis services, per day, less than full month service (20 years or older)	45	29	$8.40	$8.27
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	24	19	$79.00	$43.57
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	20	$114.71	$113.24
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	12	12	$223.77	$220.76

Medical Specialties & State Licenses

CMS Verified: 2025-07-16

Internal Medicine - Nephrology Primary Specialty

NUCC Taxonomy Code: 207RN0300X

State License IL 036065928

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

036065928 (IL)

Commercial Insurance / Payer ID Bcbs Of Il

01621679 (IL)

Hospital & Practice Group Affiliations

Lakeside Nephrology Ltd

1717 S Wabash Ave, Chicago, IL 606161219

Phone: 3129130110

Rush University Medical Group

1725 W Harrison St, Chicago, IL 606123852

Phone: 3129428120

Secondary Practice Locations

2277 W Howard St

Chicago, IL 606451922

Phone: 7735080110

1101 S Canal St

Chicago, IL 606074901

Phone: 3129860110

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events

📍

Updated Practice Location July 16, 2025

Registered at 1717 S WABASH AVE, CHICAGO, IL 606161219 (Tel: 3129130110)

📍

Updated Business Mailing Address July 16, 2025

Registered at 2277 W HOWARD ST, CHICAGO, IL 606451922 (Tel: 7735080110)

✅

NPI Profile Active January 06, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location January 06, 2012

Registered at 1101 S CANAL ST, CHICAGO, IL 606074901 (Tel: 3129860110)

📍

Updated Business Mailing Address January 06, 2012

Registered at 1101 S CANAL ST, CHICAGO, IL 606074901 (Tel: 3129860110)

👤

Provider Name / Credentials Updated January 06, 2012

Recorded as SHELDON HIRSCH, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 06, 2012

Internal Medicine (License #036065928 in IL)

🟢

Initial NPI Registration & Enumeration December 21, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1174509020

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: December 21, 2005

Last Update: July 16, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2277 W Howard St

Chicago, IL 606451922

Phone: 7735080110

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

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