Individual provider Active NPI

Jay Shah, M.D

  • Cardiovascular Disease Physician
  • Chesterton, IN
National Provider Identifier
1134450737
Registry record updated Dec 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
01072775A Issued in IN
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

Updated by the provider on Dec 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
201183930MedicaidIN

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131002000095 IN Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 2961675897 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
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
University of ChicagoGroup PAC ID 7719899426, 1,674 clinicians
Porter Physician Services LLCGroup PAC ID 1850482407, 96 clinicians

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 Hospital, Chicago, IL, CCN 140088
  • Northwest Health - Porter Hospital, Valparaiso, IN, CCN 150035
  • Uchicago Medicine Northwest Indiana Hospital, Crown Point, IN, CCN 150195
  • St Mary Medical Center Inc Hospital, Hobart, IN, CCN 150034
  • Northwest Health - Starke Hospital, Knox, IN, CCN 150102

Merit-based Incentive Payment System (MIPS)

Final score
90.68 of 100Reported as apm
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

LicenseStateTypeSpecialty
125052454ILMDInternal Medicine Physician
01072775AINMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Chicago CurrentSince Oct 30, 2025 Accepting new patients
Porter Physician Services LLC Internal Medicine CurrentSince Aug 19, 2013 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 6

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": "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

Verify at the official NPI Registry.