NPIMap

Individual provider Active NPI

Bharat K Shah, MD

  • Family Medicine Physician
  • Chicago, IL
National Provider Identifier
1316971005
Registry record updated Jul 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036068419 Issued in IL
Practice address
3414 W Peterson
Suite a
Chicago, IL 60659
Phone
(773) 478-1777
Fax
(877) 224-8985
NPI assigned
Jul 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036068419 IL Primary

Addresses

Primary practice location

3414 W Peterson
Suite a
Chicago, IL 60659

Mailing address

3414 W Peterson Ave
Suite a
Chicago, IL 60659
Phone (773) 478-1777

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040327000038 IL Practitioner - Internal Medicine 7012809767 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prime Medical Associates LTDGroup PAC ID 3274425921, 2 clinicians

Practice addresses (Care Compare)

2026 N Clark St
Chicago, IL 60614-4764
Phone (773) 645-4470

2233 W Division St
Chicago, IL 60622-8151
Phone (312) 770-2000

2544 W Montrose Ave
Chicago, IL 60618-1537
Phone (773) 267-2622

3414 W Peterson
Suite a
Chicago, IL 60659-3447

3414 W Peterson Ave
Suite a
Chicago, IL 60659-3447

3414 W Peterson Ave a
Chicago, IL 60659-3447
Phone (773) 478-1777

4621 N Racine Ave
Chicago, IL 60640-4905
Phone (773) 784-2300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
47.25 of 100Reported as individual
Quality
30
Improvement activities
0
Cost
84.17

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036068419ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bhanu L Patel M D LTD CurrentSince Jul 22, 2025 Accepting new patients
Prime Medical Associates LTD Family Medicine CurrentSince Jan 1, 2003 Accepting new patients
Ryze at the Ridge LLC PastSince Mar 1, 2024 Accepting new patients

Locations

3414 W Peterson Ave
Ste A
Chicago, IL 60659
Phone (312) 478-1777

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Mado Healthcare-UptownChicago, IL, CCN 146191 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Aug 5, 2003
Aug 5, 2003
All American Village Nursing and Rehabilitation Center LLCChicago, IL, CCN 146198 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jul 1, 2022
Jul 1, 2022
Ryze at the RidgeChicago, IL, CCN 145832 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Mar 1, 2024
Mar 1, 2024

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 3

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 10

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": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752451200000",
    "number": "1316971005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3414 W PETERSON AVE",
            "address_2": "SUITE A",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60659",
            "telephone_number": "773-478-1777",
            "fax_number": "773-478-1964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3414 W PETERSON",
            "address_2": "SUITE A",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60659",
            "telephone_number": "773-478-1777",
            "fax_number": "877-224-8985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "BHARAT",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036068419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.