Active NPI
Sonia Shah, D.O.
- Emergency Medicine Physician
- Evanston, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 25MB11597500
- Practice address
- 2650 Ridge Ave.
Dept. of Medicine
Evanston, IL 60201-1057 - Phone
- (847) 570-2114
- Fax
- (847) 570-1223
- NPI assigned
- Apr 10, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 13208 | WI | |
| Emergency Medicine Physician | 207P00000X | 036152207 | IL | |
| Emergency Medicine Physician | 207P00000X | 25MB11597500 | NJ | Primary |
Addresses
Primary practice location
2650 Ridge Ave.
Dept. of Medicine
Evanston, IL 60201-1057
Mailing address
1 Capital Way
Pennington, NJ 08534-2520
Phone (609) 303-4010
Other practice location 1
20201 Crawford Ave
Olympia Fields, IL 60461-1010
Phone (708) 747-4000
Other practice location 2
800 Riverside Dr
Waupaca, WI 54981-1943
Phone (715) 258-1041
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Kansas City University of Med & Biosciences, College of Osteo Med, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Capital Way
Pennington, NJ 08534-2520
Phone (609) 303-4000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13208 | WI | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thedacare Medical Center - Waupaca, Inc. | Current | Accepting new patients | |
| Thedacare Medical Center - Waupaca, Inc. | Current | Accepting new patients | |
| Thedacare Medical Center - Waupaca, Inc. | Emergency Medicine | Current | Accepting new patients |
| Thedacare Medical Center - New London, Inc. | Current | Accepting new patients | |
| Richard S Veiga MD SC | Current | Accepting new patients | |
| Thedacare Medical Center - Shawano, Inc. | Current | Accepting new patients | |
| Thedacare Medical Center - New London, Inc. | Current | Accepting new patients | |
| Thedacare Medical Center - Shawano, Inc. | Current | Accepting new patients | |
| Thedacare Medical Center - Berlin, Inc. | Current | Accepting new patients | |
| Thedacare Medical Center - Berlin, Inc. | Current | Accepting new patients | |
| Capital Health Multispecialty Group | Emergency Medicine | Current | Accepting new patients |
| Thedacare Medical Center - New London, Inc | Current | Accepting new patients | |
| Foundation for Emergency Services | Emergency Medicine | Past | Accepting new patients |
Locations
3131 Princeton Pike
Bldg 5
Lawrenceville, NJ 08648
Phone (609) 844-9661
1 Capital Way
Pennington, NJ 08534
Phone (609) 303-4000
750 Brunswick Ave
Trenton, NJ 08638
Phone (609) 394-6000
225 Memorial Dr
Berlin, WI 54923
Phone (920) 361-1313
1405 Mill St
New London, WI 54961
Phone (920) 531-2000
100 Cty Road B
Shawano, WI 54166
Phone (715) 524-2161
800 Riverside Dr
Waupaca, WI 54981
Phone (715) 258-1000
Organizations & group practices 13
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.
-
dba Community Health Network, Inc and Berlin Memorial Hospital
- Critical Access Hospital
- Berlin, WI
- NPI 1760413777
-
- Critical Access Hospital
- New London, WI
- NPI 1538127220
-
- Critical Access Hospital
- Shawano, WI
- NPI 1548260839
-
- Critical Access Hospital
- Waupaca, WI
- NPI 1710333893
-
- Emergency Medicine Physician
- Waupaca, WI
- NPI 1780782680
-
- Anatomic Pathology & Clinical Pathology Physician
- Waupaca, WI
- NPI 1861434631
-
dba ThedaCare Remote Dispensing Site-Berlin
- Community/Retail Pharmacy
- Berlin, WI
- NPI 1043072291
-
- Medicare Defined Swing Bed Hospital Unit
- New London, WI
- NPI 1639182926
-
- Critical Access Hospital
- Clintonville, WI
- NPI 1144675745
-
dba ThedaCare Apothecary-Shawano
- Community/Retail Pharmacy
- Shawano, WI
- NPI 1306516604
-
dba ThedaCare Apothecary-Waupaca
- Community/Retail Pharmacy
- Waupaca, WI
- NPI 1558031856
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Regional Medical Center
- General Acute Care Hospital
- Trenton, NJ
- NPI 1275583726
-
dba Littleton Regional Healthcare
- Critical Access Hospital
- Littleton, NH
- NPI 1144223702
-
- Critical Access Hospital
- Waupaca, WI
- NPI 1013995521
-
- Critical Access Hospital
- Waupaca, WI
- NPI 1710333893
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762819200000",
"number": "1336672906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 CAPITAL WAY",
"city": "PENNINGTON",
"state": "NJ",
"postal_code": "085342520",
"telephone_number": "609-303-4010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2650 RIDGE AVE.",
"address_2": "DEPT. OF MEDICINE",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602011057",
"telephone_number": "847-570-2114",
"fax_number": "847-570-1223"
}
],
"practiceLocations": [
{
"address_1": "20201 Crawford Ave",
"address_purpose": "LOCATION",
"city": "Olympia Fields",
"state": "IL",
"postal_code": "604611010",
"country_code": "US",
"telephone_number": "708-747-4000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "800 Riverside Dr",
"address_purpose": "LOCATION",
"city": "Waupaca",
"state": "WI",
"postal_code": "549811943",
"country_code": "US",
"telephone_number": "715-258-1041",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHAH",
"first_name": "SONIA",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-04-10",
"last_updated": "2025-11-11",
"certification_date": "2025-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "WI",
"license": "13208",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IL",
"license": "036152207",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NJ",
"license": "25MB11597500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Evanston, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.