Individual provider Active NPI

Shah Nawaz, M.D.

  • Psychiatry Physician
  • Arlington Heights, IL
National Provider Identifier
1003856139
Registry record updated Apr 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
036105865 Issued in IL
Practice address
800 W. Central Road
Northwest Community Hospital
Arlington Heights, IL 60005
Phone
(847) 618-4070
NPI assigned
Jun 7, 2006
Last updated
Apr 12, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 036105865 IL Primary

Addresses

Primary practice location

800 W. Central Road
Northwest Community Hospital
Arlington Heights, IL 60005

Mailing address

520 E 22ND St
Lombard, IL 60148-6110
Phone (630) 874-2542

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040304000060 IL Practitioner - Psychiatry 1355238221 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pra Behavioral LLCGroup PAC ID 3274427729, 24 clinicians

Practice addresses (Care Compare)

1701 E Woodfield Rd
Suite 1000
Schaumburg, IL 60173-5113
Phone (847) 240-2211

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036105865ILMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pra Behavioral LLC Psychiatry CurrentSince Jun 7, 2019 Accepting new patients

Locations

1701 E Woodfield Rd
Ste 1000
Schaumburg, IL 60173
Phone (847) 240-2211

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428796800000",
    "number": "1003856139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 E 22ND ST",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601486110",
            "telephone_number": "630-874-2542",
            "fax_number": "630-874-2642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W. CENTRAL ROAD",
            "address_2": "NORTHWEST COMMUNITY HOSPITAL",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "60005",
            "telephone_number": "847-618-4070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAWAZ",
        "first_name": "SHAH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2015-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036105865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington Heights, IL

Sources for this page

Verify at the official NPI Registry.