Active NPI
DRS. Shay and Associates, LTD.
- Cardiovascular Disease Physician
- Peoria, IL
National Provider Identifier
1275682445
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 036048357
- Legal business name
- DRS. SHAY AND ASSOCIATES, LTD.
- Practice address
- 1201 N North St
Peoria, IL 61606-1533 - Phone
- (309) 671-2310
- Fax
- (309) 674-3560
- NPI assigned
- Jan 9, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sanit Shay, MD
- Title
- Owner
- Phone
- (309) 671-2310
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 036048357 | IL | Primary |
| Obstetrics & Gynecology Physician | 207V00000X | 036049845 | IL |
Addresses
Primary practice location
1201 N North St
Peoria, IL 61606-1533
Mailing address
1201 N North St
Peoria, IL 61606-1533
Phone (309) 671-2310
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CL3221 | Other | IL | RAILROAD MEDICARE ID |
| 1275682445 | Other | NPI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 14D0431981 | DRS Shay & Associates | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryLocations
1201 N North St
Peoria, IL 61606
Phone (309) 671-2103
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Peoria, IL
- NPI 1174672331
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168300800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1693958400000",
"number": "1275682445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 N NORTH ST",
"city": "PEORIA",
"state": "IL",
"postal_code": "616061533",
"telephone_number": "309-671-2310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 N NORTH ST",
"city": "PEORIA",
"state": "IL",
"postal_code": "616061533",
"telephone_number": "309-671-2310",
"fax_number": "309-674-3560"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DRS. SHAY AND ASSOCIATES, LTD.",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-09",
"last_updated": "2023-09-06",
"certification_date": "2023-09-06",
"status": "A",
"authorized_official_last_name": "SHAY",
"authorized_official_first_name": "SANIT",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "309-671-2310",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "IL",
"license": "036048357",
"primary": true
},
{
"code": "207V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": "IL",
"license": "036049845",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE ID",
"identifier": "CL3221",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1275682445",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Peoria, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.