Individual provider Active NPI

Manisha Chirag Shah, MD

  • Obstetrics & Gynecology Physician
  • Urbana, IL
National Provider Identifier
1306154984
Registry record updated Oct 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
036126507 Issued in IL
Practice address
611 W Park St
Urbana, IL 61801-2501
Phone
(217) 383-3140
Fax
(217) 383-4966
NPI assigned
Sep 17, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 036126507 IL Primary

Addresses

Primary practice location

611 W Park St
Urbana, IL 61801-2501

Mailing address

611 W Park St
Urbana, IL 61801-2501
Phone (217) 838-3311

Other practice location 1

1000 Health Center Dr
Mattoon, IL 61938-4644
Phone (217) 238-4325

Other identifiers 3

IdentifierTypeStateIssuer
036126507MedicaidIL
3221488OtherUNITED HEALTHCARE
A23115OtherHEALTHLINK

Other names 1

  • Manisha Jaswantlal Shah Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mshah216443@ewd.direct.hshs.org Direct

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
I20101112000979 IL Practitioner - Obstetrics/Gynecology 6103011374 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sarah Bush Lincoln Health CenterGroup PAC ID 5092614867, 411 clinicians
Carle Health Care IncorporatedGroup PAC ID 3577515774, 1,592 clinicians

Practice addresses (Care Compare)

1000 Health Ctr Dr
Suite 201
Mattoon, IL 61938-4639
Phone (217) 258-4030

611 W Park St
Urbana, IL 61801-2500

611 W Park St
Urbana, IL 61801-2501
Phone (888) 712-2753

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.96 of 100Reported as apm
Quality
69.5
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036126507ILMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carle Health Care Incorporated CurrentSince Jul 30, 2025 Accepting new patients
Community Health Improvement Center CurrentSince Nov 2, 2021 Accepting new patients
Sarah Bush Lincoln Health Center Current Accepting new patients
Christina L Midkiff MD SC CurrentSince May 12, 2018 Accepting new patients
Community Health Improvement Center CurrentSince Nov 2, 2021 Accepting new patients
Asbery and Associates OB GYN LLC Obstetrics & Gynecology CurrentSince Dec 1, 2023 Accepting new patients
Obhg Illinois SC Obstetrics & Gynecology CurrentSince Sep 13, 2024 Accepting new patients
Sarah Bush Lincoln Health Center CurrentSince Dec 7, 2023 Accepting new patients

Locations

320 E Central Ave
Decatur, IL 62521
Phone (217) 877-4694

1555 N Barrington Rd
Hoffman Estates, IL 60169
Phone (847) 490-2923

2023 Vadalabene Dr
Ste 200
Maryville, IL 62062
Phone (618) 288-7408

101 Professional Plz
Mattoon, IL 61938
Phone (217) 238-3730

1000 Health Center Dr
Mattoon, IL 61938
Phone (217) 258-2389

1000 Health Center Dr
Ste 201
Mattoon, IL 61938
Phone (217) 238-6055

8 Doctors Park Rd
Mount Vernon, IL 62864
Phone (618) 244-5500

4225 Lincolnshire Dr
Ste B
Mount Vernon, IL 62864

734 Cambridge Blvd
O Fallon, IL 62269
Phone (618) 622-6196

701 N 1st St
Springfield, IL 62781
Phone (217) 788-3100

611 W Park St
Urbana, IL 61801
Phone (217) 383-6941

Interoperability endpoints

  • Direct secure messaging: mshah216443@ewd.direct.hshs.org
  • Direct secure messaging: mshah496612@direct-ehr-ssmhc.com
  • Direct secure messaging: mshahmd445485@carlehiedirect.net

Organizations & group practices 8

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 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": "1284681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759363200000",
    "number": "1306154984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 W PARK ST",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "618012501",
            "telephone_number": "217-838-3311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 W PARK ST",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "618012501",
            "telephone_number": "217-383-3140",
            "fax_number": "217-383-4966"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Health Center Dr",
            "address_purpose": "LOCATION",
            "city": "Mattoon",
            "state": "IL",
            "postal_code": "619384644",
            "country_code": "US",
            "telephone_number": "217-238-4325",
            "fax_number": "217-348-4290",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH",
        "first_name": "MANISHA",
        "middle_name": "CHIRAG",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-17",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036126507",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036126507",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "3221488",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "A23115",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mshah216443@ewd.direct.hshs.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "544 W Pershing Rd",
            "city": "Decatur",
            "state": "IL",
            "country_code": "US",
            "postal_code": "62526",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MANISHA",
            "last_name": "SHAH",
            "middle_name": "JASWANTLAL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Urbana, IL

Sources for this page

Verify at the official NPI Registry.