Active NPI
Jay Shah, M.D
- Cardiovascular Disease Physician
- Chesterton, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 01072775A
- Practice address
- 800 Indian Boundary Rd
Chesterton, IN 46304-1695 - Phone
- (872) 317-0501
- Fax
- (872) 317-0500
- NPI assigned
- Jan 21, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 125052454 | IL | |
| Cardiovascular Disease Physician | 207RC0000X | 01072775A | IN | Primary |
Addresses
Primary practice location
800 Indian Boundary Rd
Chesterton, IN 46304-1695
Mailing address
10855 Virginia St
Crown Point, IN 46307-0210
Phone (872) 317-0501
Other practice location 1
10855 Virginia St
Crown Point, IN 46307-0210
Phone (888) 824-0200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201183930 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- University of Kansas School of Med (KC/Wich/Sal), 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
10855 Virginia St
Suite 1200
Crown Point, IN 46307-0210
Phone (888) 824-0200
2000 Roosevelt Rd
Valparaiso, IN 46383-2800
Phone (219) 983-8300
2000 Roosevelt Rd
Valparaiso, IN 46383-2802
2505 Calumet Ave
Valparaiso, IN 46383-2715
Phone (219) 548-3843
3630 Willowcreek Rd
Portage, IN 46368-5075
650 Dickinson Rd
Chesterton, IN 46304-3387
85 E US Hwy 6
Valparaiso, IN 46383-8948
Hospital & facility affiliations
- The University of Chicago Medical Center
- Northwest Health - Porter
- Uchicago Medicine Northwest Indiana
- St Mary Medical Center Inc
- Northwest Health - Starke
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.68 of 100
- Quality
- 76.2
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125052454 | IL | MD | Internal Medicine Physician |
| 01072775A | IN | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Chicago | Current | Accepting new patients | |
| Porter Physician Services LLC | Internal Medicine | Current | Accepting new patients |
Locations
2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206
2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222
650 Dickinson Rd
Ste Z
Chesterton, IN 46304
Phone (219) 464-9507
800 Indian Boundary Rd
Chesterton, IN 46304
Phone (219) 926-6200
2022 Kelle Dr
Chesterton, IN 46304
Phone (219) 364-3616
650 Dickinson Rd
Ste A
Chesterton, IN 46304
Phone (219) 926-2133
10855 Virginia St
Ste 1700
Crown Point, IN 46307
10855 Virginia St
Ste 1600
Crown Point, IN 46307
10855 Virginia St
Ste 2400
Crown Point, IN 46307
10855 Virginia St
Ste 2200
Crown Point, IN 46307
Phone (219) 407-5540
10855 Virginia St
Ste 1100
Crown Point, IN 46307
Phone (219) 407-5540
10855 Virginia St
Ste 1200
Crown Point, IN 46307
Phone (219) 407-5500
10855 Virginia St
Ste 2700
Crown Point, IN 46307
10855 Virginia St
Ste 2800
Crown Point, IN 46307
10855 Virginia St
Ste 2100
Crown Point, IN 46307
Phone (219) 407-5540
1500 S Lake Park Ave
Ste 109
Hobart, IN 46342
Phone (219) 942-0551
3630 Willowcreek Rd
Ste 1
Portage, IN 46368
Phone (219) 364-3062
3630 Willowcreek Rd
Portage, IN 46368
Phone (219) 364-3000
2000 Roosevelt Rd
Ste 205
Valparaiso, IN 46383
Phone (219) 263-7600
813 Porter Campus Dr
Ste Abc
Valparaiso, IN 46383
Phone (219) 926-3000
85 E US Highway 6
Valparaiso, IN 46383
Phone (219) 983-5743
2000 Roosevelt Rd
Ste 104
Valparaiso, IN 46383
Phone (219) 464-3063
85 E US Highway 6
Ste 300
Valparaiso, IN 46383
Phone (219) 983-6300
Interoperability endpoints
- jshah353749@uchospital.direct-ci.com
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.
-
- Family Medicine Physician
- Valparaiso, IN
- NPI 1508075680
Internal Medicine
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- Knox, IN
- NPI 1679948319
-
- General Acute Care Hospital
- Valparaiso, IN
- NPI 1215151154
-
- General Acute Care Hospital
- Hobart, IN
- NPI 1558463745
-
- General Acute Care Hospital
- Hobart, IN
- NPI 1962504175
-
- General Acute Care Hospital
- Crown Point, IN
- NPI 1144914532
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1508956509
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1766361600000",
"number": "1134450737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10855 VIRGINIA ST",
"city": "CROWN POINT",
"state": "IN",
"postal_code": "463070210",
"telephone_number": "872-317-0501",
"fax_number": "872-317-0500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 INDIAN BOUNDARY RD",
"city": "CHESTERTON",
"state": "IN",
"postal_code": "463041695",
"telephone_number": "872-317-0501",
"fax_number": "872-317-0500"
}
],
"practiceLocations": [
{
"address_1": "10855 Virginia St",
"address_purpose": "LOCATION",
"city": "Crown Point",
"state": "IN",
"postal_code": "463070210",
"country_code": "US",
"telephone_number": "888-824-0200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHAH",
"first_name": "JAY",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-01-21",
"last_updated": "2025-12-22",
"certification_date": "2025-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "125052454",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "IN",
"license": "01072775A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201183930",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chesterton, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.