Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1598758047 Deactivated / Inactive NPI Female Practitioner

Dr. Roop Rekha Shivpuri , MD

Specialist • Elgin, IL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Roop Shivpuri has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 30, 2005
NPI Deactivation Date March 23, 2006
Total Practice Duration ~1 Years of Practice (2005 – 2006)

Professional Overview & Biography Verified Profile Summary

Dr. Roop Shivpuri, MD was a registered Specialist practicing in Elgin, IL. Throughout an active medical career spanning 1 years, Dr. Shivpuri provided care at the practice location at 2050 LARKIN AVE until profile deactivation on 2006-03-23.

Practice Location & Contact Primary Location

Practice Address

2050 Larkin Ave

Elgin, IL 601235888

Telephone 8476972500
Fax 8476972565
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Elgin, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 38.5 Yrs
Regional Practice Density
11 Specialists

Practicing in Elgin, IL (1322 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License IL 36059029

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Blue Cross Blue Shield
4500577 (IL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

22 Associated Practitioners
Antonio Hernandez-Silva , PMHNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1073371951

Psychiatric-Mental Health Nurse Practitioner

Steven Schaffer , MA

Counselor - Professional

NPI 1114005915

Master of Arts

NPI 1174574073

Doctor of Medicine (M.D.)

Carolyn Pugh , PA-C

Physician Assistant

NPI 1194898536

Physician Assistant (Certified)

Kelsey Maleski , LCSW

Social Worker - Clinical

NPI 1285187278

Licensed Clinical Social Worker

Megan Lukan , LCPC

Counselor - Professional

NPI 1285775643

Licensed Clinical Professional Counselor

Career & Practice History Timeline

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

7 Historical Events
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Updated Practice Location September 05, 2007

Registered at 2050 LARKIN AVE, ELGIN, IL 601235888 (Tel: 8476972500)

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Updated Business Mailing Address September 05, 2007

Registered at 2050 LARKIN AVE, #100, ELGIN, IL 601234405 (Tel: 8476972500)

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Provider Name / Credentials Updated September 05, 2007

Recorded as ROOP SHIVPURI, M.D.,

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 05, 2007

Specialist (License #36059029 in IL)

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NPI Profile Reactivated April 26, 2006

Record officially reactivated for active practice on April 26, 2006

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NPI Profile Deactivated March 23, 2006

Record deactivated on March 23, 2006

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Initial NPI Registration & Enumeration August 30, 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: 1598758047
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 30, 2005
Last Update: September 05, 2007
Deactivation Date: March 23, 2006
Sole Proprietor: Yes

Mailing Address

2050 Larkin Ave, #100

Elgin, IL 601234405

Phone: 8476972500

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

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.