Active NPI
Sameer Shah
- Interventional Pain Medicine Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- 036129958
- 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, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Pain Management
- 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
- Rehabclinics Pta Inc
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
- Swedish Hospital
- Northshore University Healthsystem - Evanston Hospital
- Amita Health Resurrection Medical Center
- Presence Saints Mary and Elizabeth Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 35.78 of 100
- Quality
- 65
- Improvement activities
- 0
- Cost
- 11.68
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.129958 | IL | MD | Pain Medicine (Anesthesiology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stellar Pain and Spine Specialists | Single Specialty | Current | Accepting new patients |
| Stellar Anesthesia Specialists PLLC | Single Specialty | Current | 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.
-
- Interventional Pain Medicine Physician
- Chicago, IL
- NPI 1154777159
Single Specialty
-
- Anesthesiology Physician
- Chicago, IL
- NPI 1306674536
Single Specialty
-
- Magnetic Resonance Imaging (MRI) Internal Medicine Physician
- Chicago, IL
- NPI 1295645463
-
- Ambulatory Surgical Clinic/Center
- Chicago, IL
- NPI 1285577601
-
- Pain Clinic/Center
- Chicago, IL
- NPI 1366288755
-
dba Body Gears - Lincoln Park
- Rehabilitation Clinic/Center
- Chicago, IL
- NPI 1962974824
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Endeavor Health Evanston Hospital
- General Acute Care Hospital
- Evanston, IL
- NPI 1184670549
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1811735228
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1265270607
-
dba Endeavor Health Swedish Hospital
- General Acute Care Hospital
- Chicago, IL
- NPI 1831151257
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.