Organization Active NPI

Stellar Pain and Spine Specialists

  • Interventional Pain Medicine Physician
  • Chicago, IL
National Provider Identifier
1154777159
Registry record updated May 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
036129958 Issued in IL
Legal business name
STELLAR PAIN AND SPINE SPECIALISTS
Practice address
830 N Ashland Ave
1N
Chicago, IL 60622-5684
Phone
(773) 280-7001
Fax
(773) 280-7597
NPI assigned
May 9, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2025

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

Authorized official

Name
Dr. Sameer Shah, MDNPI 1225266406
Title
President
Phone
(224) 880-6563

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0014X 036129958 IL Primary

Addresses

Primary practice location

830 N Ashland Ave
1N
Chicago, IL 60622-5684

Mailing address

921 Sherwood Dr
Lake Bluff, IL 60044-2203

Other practice location 1

4646 N Marine Dr
Chicago, IL 60640-5759
Phone (844) 796-5927

Other practice location 2

7435 W Talcott Ave
Chicago, IL 60631-3707
Phone (773) 792-5177

Other practice location 3

5215 N California Ave Ste 800
Chicago, IL 60625-7014
Phone (773) 325-5218

Other practice location 4

2740 W Foster Ave Ste 309
Chicago, IL 60625-3591
Phone (773) 280-7001

Other practice location 5

2900 N Lake Shore Dr
Chicago, IL 60657-5640
Phone (773) 665-3000

Other practice location 6

7411 Lake St Ste L180
River Forest, IL 60305-2300
Phone (708) 763-4781

Other practice location 7

5215 N California Ave
Chicago, IL 60625-7014
Phone (779) 898-6222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20160720001373 IL Part B Supplier - Clinic/Group Practice 8628361276 Receives reassigned benefits from 20 practitioners
Practice locations: Chicago, IL; River Forest, IL
O20250512000155 IL DME Supplier - Physician - Interventional Pain Management 8628361276 Practice locations: Chicago, IL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D2305079Stellar Pain and Specialists LLC830 N Ashland Ave - Ste 1N, Chicago, IL 60622Certificate of waiverMay 22, 2028
14D2326481Stellar Pain & Spine Specialists2740 W Foster Ave - Ste 309, Chicago, IL 60625Certificate of waiverJul 2, 2027

National Provider Directory

National Provider Directory

Locations

1431 N Claremont Ave
Ste 8
Chicago, IL 60622

2913 N Commonwealth Ave
#400
Chicago, IL 60657
Phone (312) 738-3502

5215 N California Ave
Ste 800
Chicago, IL 60625
Phone (773) 325-5218

5215 N California Ave
Ste 600
Chicago, IL 60625
Phone (773) 989-6222

1431 N Claremont Ave
Ste 6
Chicago, IL 60622

7411 Lake St
Ste L180
River Forest, IL 60305
Phone (708) 763-4781

Practitioners & affiliated clinicians

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1462752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746748800000",
    "number": "1154777159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 SHERWOOD DR",
            "city": "LAKE BLUFF",
            "state": "IL",
            "postal_code": "600442203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 N ASHLAND AVE",
            "address_2": "1N",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606225684",
            "telephone_number": "773-280-7001",
            "fax_number": "773-280-7597"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4646 N Marine Dr",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606405759",
            "country_code": "US",
            "telephone_number": "844-796-5927",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7435 W Talcott Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606313707",
            "country_code": "US",
            "telephone_number": "773-792-5177",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5215 N California Ave Ste 800",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606257014",
            "country_code": "US",
            "telephone_number": "773-325-5218",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2740 W Foster Ave Ste 309",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606253591",
            "country_code": "US",
            "telephone_number": "773-280-7001",
            "fax_number": "773-280-7597",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2900 N Lake Shore Dr",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606575640",
            "country_code": "US",
            "telephone_number": "773-665-3000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7411 Lake St Ste L180",
            "address_purpose": "LOCATION",
            "city": "River Forest",
            "state": "IL",
            "postal_code": "603052300",
            "country_code": "US",
            "telephone_number": "708-763-4781",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5215 N California Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606257014",
            "country_code": "US",
            "telephone_number": "779-898-6222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "STELLAR PAIN AND SPINE SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-09",
        "last_updated": "2025-05-09",
        "certification_date": "2025-05-09",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "SAMEER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "224-880-6563",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "IL",
            "license": "036129958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.