Dipeshkumar Shah, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036.121329 Issued in IL

Practice address

666 Dundee Rd Ste 802
Northbrook, IL 60062-2734

Phone

(847) 498-1515

NPI assigned

Jul 31, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Internal MedicineAlso: Hospice/Palliative Care

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Internal Medicine Associates IncGroup PAC ID 6608058649, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Residential Home Health Home health agency, Northbrook, IL, CCN 147001
• Alliedcare Home Health of Illinois, LLC Home health agency, Des Plaines, IL, CCN 148193
• Lifechoice Hospice and Palliative Care Hospice, Palatine, IL, CCN 141699
• Northshore University Healthsystem - Evanston Hospital Hospital, Evanston, IL, CCN 140010
• Warren Barr North Shore Nursing home, Highland Park, IL, CCN 145923
• Elevate Care Riverwoods Nursing home, Riverwoods, IL, CCN 145304

Merit-based Incentive Payment System (MIPS)

Final score

60.02 of 100Reported as individual

Quality

22.51

Improvement activities

40

Cost

65.61

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Advanced Internal Medicine Associates Inc

  • Clinic/Center
  • Northbrook, IL
  • NPI 1194026203
  Medicare reassignment Care Compare group NPD
• Triad Hospitalist Group SC

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1144456310
  NPD (past)
• Hospitalist Physicians Medical Group of Michigan, PC

  • Emergency Medicine Physician
  • Saint Joseph, MI
  • NPI 1407618234
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Alliedcare Home Health of Illinois, LLC

  • Home Health Agency
  • Des Plaines, IL
  • NPI 1386970655
  Care Compare affiliation
• Elevate Care Riverwoods LLC

  • Skilled Nursing Facility
  • Riverwoods, IL
  • NPI 1356812093

  Nursing home

  Care Compare affiliation
• Endeavor Health Clinical Operations

  • General Acute Care Hospital
  • Evanston, IL
  • NPI 1184670549
  Care Compare affiliation
• Lifechoice Hospice LLC

  • Community Based Hospice Care Agency
  • Palatine, IL
  • NPI 1861972515
  Care Compare affiliation
• Residential Home Health Illinois, LLC

  • Home Health Agency
  • Northbrook, IL
  • NPI 1114673787
  Care Compare affiliation
• Warren Barr North Shore LLC

  • Skilled Nursing Facility
  • Highland Park, IL
  • NPI 1548688864

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403568000000",
    "number": "1144236233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "666 DUNDEE RD STE 802",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600622734",
            "telephone_number": "847-498-1515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "666 DUNDEE RD STE 802",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600622734",
            "telephone_number": "847-498-1515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "DIPESHKUMAR",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2014-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036.121329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sierra Rose Serrano, RBT- 19-82747
• Akhil Kumar Seth, M.D.
• Megan Sharon Seth, LPC
• Kristin A Shackleton, RBT-19-78960
• Ayesha Shafeeq, RD
• Mansi S Shah
• Fatima Shahid I
• Talia Shaked, MA
• Michelle Shalin, LCPC
• Meredith Shanks, MS,BCBA

• Internal Medicine Physician in Northbrook, IL
• Providers in Northbrook, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2014; 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.

Verify at the official NPI Registry.