Individual provider Active NPI

Sameer Shah

  • Interventional Pain Medicine Physician
  • Chicago, IL
National Provider Identifier
1225266406
Registry record updated Feb 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
036129958 Issued in IL
Practice address
830 N Ashland Ave
1N
Chicago, IL 60622
Phone
(773) 280-7001
Fax
(773) 280-5797
NPI assigned
Jun 26, 2009
Last updated
Feb 12, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 036.129958 IL
Interventional Pain Medicine Physician 208VP0014X 036129958 IL Primary

Addresses

Primary practice location

830 N Ashland Ave
1N
Chicago, IL 60622

Mailing address

5215 N California Ave
Chicago, IL 60625-7014
Phone (773) 878-8200

Other practice location 1

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

Other practice location 2

5215 N California Ave
Chicago, IL 60625-7014
Phone (773) 878-8200 ext. 5486

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
I20140926000836 IL Practitioner - Interventional Pain ManagementPractitioner - AnesthesiologyPractitioner - Pain Management 9436379310 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain ManagementAlso: Anesthesiology
Education
Loyola University of Chicago, Stritch School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dynamic Physical Therapy, Inc.Group PAC ID 4284607680, 41 clinicians
Rehabclinics Pta IncGroup PAC ID 0547237497, shared by 11 NPIs, 209 clinicians
Stellar Pain and Spine SpecialistsGroup PAC ID 8628361276, 12 clinicians

Practice addresses (Care Compare)

1049 Lake St
Suite 201
Oak Park, IL 60301-6708

1817 E Commercial Blvd
Ft Lauderdale, FL 33308-3767
Phone (954) 836-8980

830 N Ashland Ave
Suite 1N
Chicago, IL 60622-5684
Phone (773) 280-7001

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
35.78 of 100Reported as individual
Quality
65
Improvement activities
0
Cost
11.68

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.129958ILMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Stellar Pain and Spine Specialists Single Specialty CurrentSince Jun 1, 2016 Accepting new patients
Stellar Anesthesia Specialists PLLC Single Specialty CurrentSince Sep 15, 2024 Accepting new patients

Locations

2740 W Foster Ave
Ste 309
Chicago, IL 60625
Phone (773) 769-3141

2900 N Lakeshore
Chicago, IL 60657
Phone (773) 665-3240

2913 N Commonwealth Ave
Ste 400
Chicago, IL 60657
Phone (773) 665-3308

4646 N Marine Dr
Chicago, IL 60640
Phone (773) 564-5102

5145 N California Ave
Chicago, IL 60625
Phone (773) 989-3800

5215 N California Ave
Chicago, IL 60625
Phone (773) 561-5809

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

5215 N California Ave
Ste 880
Chicago, IL 60625
Phone (773) 293-8900

5215 N California Ave
Ste F600
Chicago, IL 60625
Phone (773) 989-6202

7435 W Talcott Ave
Chicago, IL 60631
Phone (773) 467-9977

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

Organizations & group practices 6

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.

Hospital & facility affiliations 4

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": "1245974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707696000000",
    "number": "1225266406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5215 N CALIFORNIA AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606257014",
            "telephone_number": "773-878-8200",
            "fax_number": "773-989-1639"
        },
        {
            "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": "60622",
            "telephone_number": "773-280-7001",
            "fax_number": "773-280-5797"
        }
    ],
    "practiceLocations": [
        {
            "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": "773-878-8200 x5486",
            "fax_number": "773-989-1639",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH",
        "first_name": "SAMEER",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-26",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "IL",
            "license": "036.129958",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_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

Verify at the official NPI Registry.