Individual provider Active NPI

Yatin Shah, M.D.

  • Internal Medicine Physician
  • Joliet, IL
National Provider Identifier
1235108911
Registry record updated Aug 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036067943 Issued in IL
Practice address
2025 S Chicago St
Joliet, IL 60436-3172
Phone
(815) 726-2200
Fax
(314) 536-8783
NPI assigned
Mar 16, 2006
Last updated
Aug 14, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036067943 IL Primary

Addresses

Primary practice location

2025 S Chicago St
Joliet, IL 60436-3172

Mailing address

2025 S Chicago St
Joliet, IL 60436-3172
Phone (815) 726-2200

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
I20040629001427 IL Practitioner - Internal Medicine 1658273099 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Primary Care Physicians of Joliet SCGroup PAC ID 5193078095, 18 clinicians

Practice addresses (Care Compare)

121 Robert P Weidling Dr
Wilmington, IL 60481-1679
Phone (815) 726-2200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036067943ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Yatin M Shah MD SC Current Accepting new patients
Oak Street Health Physicians Group, PC Internal Medicine CurrentSince Jan 1, 2018 Accepting new patients
Primary Care Physicians of Joliet SC Internal Medicine CurrentSince Aug 29, 2018 Accepting new patients

Locations

3046 Burr Oak Ave
Blue Island, IL 60406
Phone (708) 377-7920

4848 W Irving Park Rd
Chicago, IL 60641
Phone (773) 724-6200

2025 S Chicago St
Joliet, IL 60436
Phone (815) 726-2200

2025 S Chicago St
Ste 1
Joliet, IL 60436
Phone (815) 726-2200

2025 S Chicago St
Ste B
Joliet, IL 60436
Phone (815) 957-4174

121 Robert P Weidling Dr
Ste 1
Wilmington, IL 60481
Phone (815) 726-2200

121 Winchester Green Dr
Wilmington, IL 60481
Phone (815) 286-8487

Interoperability endpoints

  • Direct secure messaging: yatin.shah@direct.lumeris.com
  • Direct secure messaging: yatin.shah@pcpj.eclinicaldirectplus.com

Organizations & group practices 4

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 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": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755129600000",
    "number": "1235108911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2025 S CHICAGO ST",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604363172",
            "telephone_number": "815-726-2200",
            "fax_number": "815-727-1442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 S CHICAGO ST",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604363172",
            "telephone_number": "815-726-2200",
            "fax_number": "314-536-8783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "YATIN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-16",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036067943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joliet, IL

Sources for this page

Verify at the official NPI Registry.