Individual provider Active NPI

Meeta P Shah, MD

  • Emergency Medicine Physician
  • Chicago, IL
National Provider Identifier
1194986349
Registry record updated Jun 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
036.120459 Issued in IL
Practice address
1653 W Congress Pkwy
Emergency Department
Chicago, IL 60612-3833
Phone
(773) 947-0270
NPI assigned
Jun 20, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 036.120459 IL Primary

Addresses

Primary practice location

1653 W Congress Pkwy
Emergency Department
Chicago, IL 60612-3833

Mailing address

1653 W Congress Pkwy
Emergency Department
Chicago, IL 60612-3833
Phone (773) 947-0270

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20081111000145 IL Practitioner - Emergency Medicine 2062571771 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Indiana Medical College, School of Medicine of Purdue University, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Loyola University Medical CenterGroup PAC ID 3779488903, 917 clinicians

Practice addresses (Care Compare)

2160 S 1St Ave
Maywood, IL 60153-3328
Phone (708) 216-8372

Hospital & facility affiliations

  • Loyola University Medical Center Hospital, Maywood, IL, CCN 140276

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.120459ILMDEmergency Medicine Physician
036120459ILMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cepamerica Illinois LLP Emergency Medicine Current Accepting new patients
Rush University Medical Group Emergency Medicine CurrentSince Oct 1, 2020 Accepting new patients
Rush Oak Park ER Physicians Group CurrentSince Apr 7, 2020 Accepting new patients
Cepamerica Illinois LLP Emergency Medicine CurrentSince Jul 15, 2013 Accepting new patients
Loyola University Medical Center CurrentSince Jun 1, 2025 Accepting new patients
Cepamerica Illinois LLP Emergency Medicine CurrentSince Jul 15, 2013 Accepting new patients
Dispatchhealth-Arizona Emergency Medicine CurrentSince Jul 25, 2021 Accepting new patients
Rush University Medical Center CurrentSince Oct 1, 2020 Accepting new patients
Loyola University Medical Center CurrentSince Jun 1, 2025 Accepting new patients
Dispatchhealth-Arizona Emergency Medicine CurrentSince Jul 25, 2021 Accepting new patients
Indiana Physician Services LLC Emergency Medicine Past Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

3249 Oak Park Ave
Berwyn, IL 60402
Phone (708) 783-2696

980 N Michigan Ave
Ste 1400
Chicago, IL 60611
Phone (312) 214-3605

75 Remittance Dr
Dept 1620
Chicago, IL 60675

1700 W Van Buren St
#500
Chicago, IL 60612
Phone (312) 563-2875

1653 W Congress Pkwy
#177
Chicago, IL 60612
Phone (312) 947-0229

980 N Michigan Ave
Ste 140
Chicago, IL 60611

5645 W Addison St
Chicago, IL 60634
Phone (773) 282-7000

1653 W Congress Pkwy
Chicago, IL 60612
Phone (312) 942-3138

75 Remittance Dr
Dept 1611
Chicago, IL 60675

1425 N Randall Rd
Elgin, IL 60123
Phone (224) 783-5437

1 Ingalls Dr
Harvey, IL 60426
Phone (708) 333-2300

500 W Court St
Kankakee, IL 60901
Phone (800) 585-4119

2160 S 1st Ave
Maywood, IL 60153
Phone (708) 216-4400

520 S Maple Ave
Oak Park, IL 60304
Phone (708) 383-9300

2 Westbrook Corporate Ctr
Ste 600
Westchester, IL 60154
Phone (708) 216-5092

Interoperability endpoints

  • Direct secure messaging: mshah42904@direct.rush.rush-health.com

Organizations & group practices 11

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 2

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": "1213920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371081600000",
    "number": "1194986349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1653 W CONGRESS PKWY",
            "address_2": "EMERGENCY DEPARTMENT",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123833",
            "telephone_number": "773-947-0270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1653 W CONGRESS PKWY",
            "address_2": "EMERGENCY DEPARTMENT",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123833",
            "telephone_number": "773-947-0270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "MEETA",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-20",
        "last_updated": "2013-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036.120459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.