NPIMap

Individual provider Active NPI

Shilpa Anshul Bamrolia, MD

  • Internal Medicine Physician
  • Gurnee, IL
National Provider Identifier
1306042999
Registry record updated Nov 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036.117142 Issued in IL
Practice address
45 Tower CT Ste C
Gurnee, IL 60031-3376
Phone
(847) 623-3200
Fax
(847) 623-9168
NPI assigned
Jun 21, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 22, 2021

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 036.117142 IL Primary

Addresses

Primary practice location

45 Tower CT Ste C
Gurnee, IL 60031-3376

Mailing address

257 Washington Blvd
# 1
Oak Park, IL 60302-4140
Phone (708) 699-4832

Other names 1

  • Dr. Shilpa Manhar Shah Other name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address sbamrolia42401@direct.myadvocateaurora.org Direct
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, WI2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070913000191 IL Practitioner - Internal Medicine 8729172333 Reassigns benefits to 1 organization
I20110511000250 WI Practitioner - Internal Medicine 8729172333 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Amg Illinois LTDGroup PAC ID 8527117027, 24 clinicians

Practice addresses (Care Compare)

45 Tower CT
Gurnee, IL 60031-3376
Phone (847) 623-3200

Hospital & facility affiliations

  • Advocate Home Health Care Serv Home health agency, Oakbrook, IL, CCN 147150
  • Amedisys Home Health Home health agency, Lake Zurich, IL, CCN 147407
  • Advocate Condell Medical Center Hospital, Libertyville, IL, CCN 140202
  • Northwestern Lake Forest Hospital Hospital, Lake Forest, IL, CCN 140130
  • Vista Medical Center East Hospital, Waukegan, IL, CCN 140084
  • Aurora Medical Center Kenosha Hospital, Kenosha, WI, CCN 520189

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.117142ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Amg Illinois LTD Internal Medicine CurrentSince Apr 1, 2009 Accepting new patients
Amg Illinois LTD CurrentSince Apr 1, 2009 Accepting new patients
Aurora Medical Group, Inc. CurrentSince Apr 24, 2013 Accepting new patients
Aurora Medical Group, Inc. Internal Medicine Current Accepting new patients
Aurora Medical Group, Inc. CurrentSince Apr 24, 2013 Accepting new patients

Locations

45 Tower Ct
Gurnee, IL 60031
Phone (847) 623-3200

45 Tower Ct
#C
Gurnee, IL 60031
Phone (847) 623-3200

10117 74th St
Ste 110
Kenosha, WI 53142
Phone (262) 697-1919

10400 75th St
Kenosha, WI 53142
Phone (262) 697-7000

1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 8

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": "1182384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637539200000",
    "number": "1306042999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "257 WASHINGTON BLVD",
            "address_2": "# 1",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603024140",
            "telephone_number": "708-699-4832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 TOWER CT STE C",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600313376",
            "telephone_number": "847-623-3200",
            "fax_number": "847-623-9168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAMROLIA",
        "first_name": "SHILPA",
        "middle_name": "ANSHUL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-21",
        "last_updated": "2021-11-22",
        "certification_date": "2021-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036.117142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sbamrolia42401@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "45 Tower Ct Ste C",
            "city": "Gurnee",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600313376",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "45 Tower Ct Ste C",
            "city": "Gurnee",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600313376",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SHILPA",
            "last_name": "SHAH",
            "middle_name": "MANHAR",
            "prefix": "DR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Gurnee, IL

Sources for this page

Verify at the official NPI Registry.