Individual provider Active NPI

Sanket C Shah, M.D.

  • Diagnostic Radiology Physician
  • Chicago, IL
National Provider Identifier
1154610681
Registry record updated Aug 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
036.140583 Issued in IL
Practice address
836 W Wellington Ave
Chicago, IL 60657-5147
Phone
(773) 975-1600
NPI assigned
Apr 5, 2011
Last updated
Aug 13, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 036.140583 IL Primary

Addresses

Primary practice location

836 W Wellington Ave
Chicago, IL 60657-5147

Mailing address

207 S Evergreen Ave
Arlington Heights, IL 60005-1913
Phone (847) 630-1498

Other practice location 1

25 N Winfield Rd
Winfield, IL 60190-1379
Phone (630) 933-4240

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, TX, OK3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20160923001135 IL Practitioner - Diagnostic Radiology 0749597987 Reassigns benefits to 2 organizations
I20260203004317 TX Practitioner - Diagnostic Radiology 0749597987 Reassigns benefits to 11 organizations
I20260208000207 OK Practitioner - Diagnostic Radiology 0749597987 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
New York Medical College, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Choctaw Nation of OklahomaGroup PAC ID 1759294838, 271 clinicians
Cherokee NationGroup PAC ID 5799698742, 446 clinicians
Pawnee Indian Health CenterGroup PAC ID 2769470160, 88 clinicians
Diagnostic Imaging Associates IncGroup PAC ID 8820083645, 88 clinicians
Lawton Indian HospitalGroup PAC ID 6406800234, 126 clinicians
Creek Nation Hospital and ClinicsGroup PAC ID 5698786226, 364 clinicians
Radiology Subspecialists of Northern Illinois LLCGroup PAC ID 2264717925, 32 clinicians

Practice addresses (Care Compare)

1 Choctaw Way
Talihina, OK 74571-2022
Phone (539) 316-6391

100 S Bliss Ave
Tahlequah, OK 74464-2512
Phone (918) 458-3100

101 S Moore Ave
Claremore, OK 74017-5047
Phone (539) 234-1000

1201 Heritage Cir
Pawnee, OK 74058-3744
Phone (918) 762-2517

122 N Walnut St
Elmhurst, IL 60126-2634
Phone (918) 935-3550

1515 NE Lawrie Tatum Rd
Lawton, OK 73507-3002
Phone (580) 354-5000

1800 E Coplin St
Okemah Indian Health Center
Okemah, OK 74859-4642
Phone (918) 623-1424

825 W State St
Suite 103E
Geneva, IL 60134-2078
Phone (630) 208-4412

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.63 of 100Reported as apm
Quality
88.47
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036.140583ILMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Touchstone Imaging of Oklahoma, LLC CurrentSince Jul 17, 2026 Accepting new patients
Touchstone Imaging of Oklahoma, LLC CurrentSince Jul 1, 2026 Accepting new patients
Radiology Subspecialists of Northern Illinois, LLC Diagnostic Radiology CurrentSince Sep 1, 2018 Accepting new patients
Northwestern Medical Faculty Foundation Diagnostic Radiology CurrentSince Aug 1, 2025 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Aug 1, 2025 Accepting new patients
Diagnostic Imaging Associates Inc Diagnostic Radiology CurrentSince Dec 15, 2025 Accepting new patients
Choctaw Nation of Oklahoma CurrentSince Feb 3, 2026 Accepting new patients
Creek Nation Hospital & Clinics CurrentSince Jan 9, 2026 Accepting new patients
Touchstone Imaging of Oklahoma, LLC CurrentSince Jun 1, 2026 Accepting new patients
Creek Nation Hospital & Clinics CurrentSince Jan 9, 2026 Accepting new patients
Choctaw Nation of Oklahoma CurrentSince Feb 3, 2026 Accepting new patients
Touchstone Imaging of Oklahoma, LLC CurrentSince Aug 14, 2026 Accepting new patients
Creek Nation Hospital & Clinics CurrentSince Jan 9, 2026 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients

Locations

Dept 5777
Carol Stream, IL 60122

825 W State St
Ste 103E
Geneva, IL 60134

660 N Westmoreland Rd
#302
Lake Forest, IL 60045

1775 W Dempster St
Park Ridge, IL 60068
Phone (847) 723-5150

9500 Bryn Mawr Ave
Ste 300
Rosemont, IL 60018
Phone (847) 410-5706

25 N Winfield Rd
Winfield, IL 60190
Phone (630) 682-1600

1800 E Coplin St
Okemah, OK 74859
Phone (918) 623-1424

1401 Morris Dr
Okmulgee, OK 74447
Phone (918) 456-0641

900 E Airport Rd
Okmulgee, OK 74447
Phone 91875643334448

1 Choctaw Way
Talihina, OK 74571
Phone (918) 423-8440

10109 E 79th St
Tulsa, OK 74133
Phone (888) 552-6760

Dept 1467
Tulsa, OK 74182

Organizations & group practices 25

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 25

Hospital & facility affiliations 8

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": "1301961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755043200000",
    "number": "1154610681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 S EVERGREEN AVE",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600051913",
            "telephone_number": "847-630-1498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "836 W WELLINGTON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606575147",
            "telephone_number": "773-975-1600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25 N Winfield Rd",
            "address_purpose": "LOCATION",
            "city": "Winfield",
            "state": "IL",
            "postal_code": "601901379",
            "country_code": "US",
            "telephone_number": "630-933-4240",
            "fax_number": "630-933-1162",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH",
        "first_name": "SANKET",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-05",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036.140583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.