Individual provider Active NPI

Hamza Shah, OD, MS

  • Optometrist
  • Chicago, IL
National Provider Identifier
1114630050
Registry record updated Jan 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046011711 Issued in IL
Practice address
5301 N Clark St
Chicago, IL 60640-2113
Phone
(773) 944-1039
NPI assigned
Jan 5, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046011711 IL Primary

Addresses

Primary practice location

5301 N Clark St
Chicago, IL 60640-2113

Mailing address

814 Forest Ave Apt 2E
Evanston, IL 60202-2414
Phone (312) 278-5254

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240720000143 TX Practitioner - Optometry 7113463621 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Houston SystemGroup PAC ID 6901896356, 55 clinicians

Practice addresses (Care Compare)

190 Heights Blvd
Houston, TX 77007-3729
Phone (713) 527-8480

4401 Martin Luther King Blvd
Houston, TX 77204-2020
Phone (713) 743-2020

4849 Calhoun Rd
Suite 104
Houston, TX 77204-2020
Phone (713) 743-2020

4901 Calhoun Rd
Houston, TX 77204-2020
Phone (713) 743-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
11087TXMDGeneral Practice Dentistry
046011711ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
University of Houston System Optometrist CurrentSince Jul 1, 2024 Accepting new patients
University of Houston CurrentSince Jul 1, 2024 Accepting new patients

Locations

190 Heights Blvd
Houston, TX 77007
Phone (713) 527-8480

4401 Martin Luther King Blvd
Houston, TX 77204
Phone (713) 743-1921

Organizations & group practices 2

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": "1672876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672876800000",
    "number": "1114630050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "814 FOREST AVE APT 2E",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602022414",
            "telephone_number": "312-278-5254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 N CLARK ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606402113",
            "telephone_number": "773-944-1039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "HAMZA",
        "name_prefix": "Dr.",
        "credential": "OD, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-01-05",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046011711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.