Individual provider Active NPI

Nishant A Shah, M.D.

  • Anesthesiology Physician
  • Chicago, IL
National Provider Identifier
1043412992
Registry record updated Jul 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
036131644 Issued in IL
Practice address
820 S. Damen Avenue
Anesthesiology Service Room 2672
Chicago, IL 60612
Phone
(312) 569-6750
NPI assigned
Jun 4, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 036131644 IL Primary
Anesthesiology Physician 207L00000X 036.131644 IL

Addresses

Primary practice location

820 S. Damen Avenue
Anesthesiology Service Room 2672
Chicago, IL 60612

Mailing address

820 S. Damen Avenue
Anesthesiology Service Room 2672
Chicago, IL 60612
Phone (312) 569-6750

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
I20130424000911 IL Practitioner - Anesthesiology 7113104332 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Endeavor Health Medical GroupGroup PAC ID 2163334699, 3,330 clinicians

Practice addresses (Care Compare)

800 W Central Rd
Arlington Heights, IL 60005-2349
Phone (847) 618-1000

Merit-based Incentive Payment System (MIPS)

Final score
84.9 of 100Reported as group
Quality
75.91
Promoting interoperability
99
Improvement activities
40
Cost
74.6

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.131644ILMDAnesthesiology Physician
036131644ILMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Gastroenterologists SC Current Accepting new patients
Endeavor Health Medical Group Anesthesiology CurrentSince Feb 8, 2024 Accepting new patients
United Shockwave Services, LTD. Anesthesiology CurrentSince Apr 15, 2013 Accepting new patients
Endeavor Health Medical Group Anesthesiology CurrentSince Feb 8, 2024 Accepting new patients
Elgin Gastroenterology Endoscopy Center LLC Current Accepting new patients
United Shockwave Services, LTD. CurrentSince Apr 15, 2013 Accepting new patients
Ambulatory Anesthesiologists of Chicago, LLC Anesthesiology CurrentSince Jan 1, 2016 Accepting new patients
Illinois Gastroenterology Group, LLC CurrentSince Aug 1, 2025 Accepting new patients
Elgin Gastroenterology SC Current Accepting new patients
Chicago Area Partners in Anesthesia LLC Anesthesiology Past Accepting new patients

Locations

1100 W Central Rd
Ste L4
Arlington Hts, IL 60005
Phone (847) 259-3080

800 W Central Rd
Arlington Hts, IL 60005
Phone (847) 618-6150

9532 Eagle Way
Chicago, IL 60678

60 E Delaware Pl
Fl 15
Chicago, IL 60611
Phone (312) 440-5150

2900 N Lakeshore
Chicago, IL 60657
Phone (773) 665-3240

745 Fletcher Dr
Ste 202
Elgin, IL 60123
Phone (855) 483-7362

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

3725 W Touhy Ave
Lincolnwood, IL 60712
Phone (847) 324-7770

2550 W Algonquin Rd
Lk in the Hls, IL 60156
Phone (847) 458-1246

1775 W Dempster St
Park Ridge, IL 60068
Phone (847) 723-5150

6701 159th St
Tinley Park, IL 60477
Phone (708) 429-0222

27650 Ferry Rd
Warrenville, IL 60555
Phone (630) 225-2345

Organizations & group practices 11

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

NPI Registry JSON

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689206400000",
    "number": "1043412992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 S. DAMEN AVENUE",
            "address_2": "ANESTHESIOLOGY SERVICE ROOM 2672",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60612",
            "telephone_number": "312-569-6750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 S. DAMEN AVENUE",
            "address_2": "ANESTHESIOLOGY SERVICE ROOM 2672",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60612",
            "telephone_number": "312-569-6750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "NISHANT",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-04",
        "last_updated": "2023-07-13",
        "certification_date": "2023-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": "036131644",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": "036.131644",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.