Active NPI
Raj C Shah, M.D.
- Geriatric Medicine (Family Medicine) Physician
- Chicago, IL
National Provider Identifier
1053440503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Family Medicine) Physician
- License
- 036101045
- Practice address
- 600 S Paulina St
Suite 130
Chicago, IL 60612-3806 - Phone
- (312) 942-3333
- Fax
- (312) 942-4154
- NPI assigned
- Mar 2, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | 036101045 | IL | Primary |
Addresses
Primary practice location
600 S Paulina St
Suite 130
Chicago, IL 60612-3806
Mailing address
600 S Paulina St
Suite 130
Chicago, IL 60612-3806
Phone (312) 942-3333
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rush University Medical Group | Neurology | Current | Accepting new patients |
Locations
75 Remittance Dr
Dept 1611
Chicago, IL 60675
600 S Paulina St
Ste 130
Chicago, IL 60612
Phone (312) 942-3333
1725 W Harrison St
Ste 955
Chicago, IL 60612
Phone (312) 563-3700
1700 W Van Buren St
#500
Chicago, IL 60612
Phone (312) 563-2875
Interoperability endpoints
- rshah3943@direct.rush.rush-health.com
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740960000000",
"number": "1053440503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 S PAULINA ST",
"address_2": "SUITE 130",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606123806",
"telephone_number": "312-942-3333",
"fax_number": "312-942-4154"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 S PAULINA ST",
"address_2": "SUITE 130",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606123806",
"telephone_number": "312-942-3333",
"fax_number": "312-942-4154"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAH",
"first_name": "RAJ",
"middle_name": "C",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-02",
"last_updated": "2025-03-03",
"certification_date": "2025-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "207QG0300X",
"taxonomy_group": "",
"desc": "Family Medicine, Geriatric Medicine",
"state": "IL",
"license": "036101045",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.