Organization Active NPI

DRS. Shay and Associates, LTD.

  • Cardiovascular Disease Physician
  • Peoria, IL
National Provider Identifier
1275682445
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
036048357 Issued in IL
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

Updated by the provider on Sep 6, 2023

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)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X 036048357 IL Primary
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
CL3221OtherILRAILROAD MEDICARE ID
1275682445OtherNPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120511000138 IL Part B Supplier - Clinic/Group Practice 1052574944 Receives reassigned benefits from 1 practitioner
Practice locations: Peoria, IL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D0431981DRS Shay & Associates1201 N North St, Peoria, IL 61606Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.