Deep N Shah, DPM, MBA

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

016.005976 Issued in IL

Practice address

183 W 1St St
Elmhurst, IL 60126-2815

Phone

(630) 530-3338

NPI assigned

Apr 9, 2019

Last updated

Jun 18, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 5

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Temple University School of Podiatric Medicine, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Elmhurst Foot and Ankle Center IncGroup PAC ID 7315488228, 3 clinicians

Metropolitan Healthcare Partners PLLCGroup PAC ID 2466824149, 25 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Amita Health Resurrection Medical Center Hospital, Chicago, IL, CCN 140117
• Community First Medical Center Hospital, Chicago, IL, CCN 140251
• Community First Medical Center Nursing home, Chicago, IL, CCN 145548

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as group

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Business Administration

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: deep.shah.1@3569.direct.athenahealth.com

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.

• Elmhurst Foot & Ankle Center Inc

  • Foot & Ankle Surgery Podiatrist
  • Elmhurst, IL
  • NPI 1598508186
  Medicare reassignment Care Compare group NPD Authorized official
• Metropolitan Healthcare Partners PLLC

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1366167264
  Medicare reassignment Care Compare group NPD
• Rosalind Franklin University Health

  • Durable Medical Equipment & Medical Supplies
  • North Chicago, IL
  • NPI 1982894911
  Medicare reassignment
• Elmhurst Foot & Ankle Center Inc

  • Foot & Ankle Surgery Podiatrist
  • Bloomingdale, IL
  • NPI 1679487946
  Authorized official Same address or phone
• Haresh Sawlani MD PC

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1487795639
  NPD (past)

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

• Community First Healthcare of Illinois, Inc

  dba Community First Medical Center

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1033214416
  Care Compare affiliation
• Community First Healthcare of Illinois, Inc

  dba Community First Medical Center

  • Skilled Nursing Facility
  • Chicago, IL
  • NPI 1942305321

  Nursing home

  Care Compare affiliation
• Resurrection Medical Center - Chicago LLC

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1811735228
  Care Compare affiliation

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

{
    "created_epoch": "1554768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718668800000",
    "number": "1164985883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 TUSCANY DR",
            "city": "STREAMWOOD",
            "state": "IL",
            "postal_code": "601074529",
            "telephone_number": "518-330-7689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "183 W 1ST ST",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601262815",
            "telephone_number": "630-530-3338"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3333 Green Bay Rd",
            "address_purpose": "LOCATION",
            "city": "North Chicago",
            "state": "IL",
            "postal_code": "600643037",
            "country_code": "US",
            "telephone_number": "847-473-4357",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3445 N Central Ave # C",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606344420",
            "country_code": "US",
            "telephone_number": "773-205-0800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Medical Center Blvd",
            "address_purpose": "LOCATION",
            "city": "Chester",
            "state": "PA",
            "postal_code": "190133902",
            "country_code": "US",
            "telephone_number": "610-447-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH",
        "first_name": "DEEP",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "DPM, MBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-09",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "IL",
            "license": "016.005976",
            "primary": false
        },
        {
            "code": "213ER0200X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Radiology",
            "state": "IL",
            "license": "016.005976",
            "primary": false
        },
        {
            "code": "213ES0000X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Sports Medicine",
            "state": "IL",
            "license": "016.005976",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016.005976",
            "primary": true
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "IL",
            "license": "016.005976",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Elizabeth Serrano, LCSW
• Vanessa Serratos
• Meghan Eileen Seymour, OTR
• Amanda Shafer, LSW
• Madison Shafer
• Kresha Shah
• Kruti Shah, PHARM D.
• Danish Shahab, M.D.
• Omar Shamsi, MD
• Elizabeth L Shangle, M.D.

• Foot & Ankle Surgery Podiatrist in Elmhurst, IL
• Providers in Elmhurst, IL by specialty
• Foot & Ankle Surgery Podiatrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2024; 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.