Hetal V Shah, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036100898 Issued in IL

Practice address

5999 New Wilke Rd
Suite 200, BLDG 2
Rolling Meadows, IL 60008-4506

Phone

(847) 255-7107

Fax

(847) 255-7031

NPI assigned

May 31, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Internal Medicine

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Womancare, P.C.Group PAC ID 9133101371, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Northwest Community Hospital 1 Hospital, Arlington Heights, IL, CCN 140252

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Womancare, P.C.

  • Obstetrics & Gynecology Physician
  • Mt Prospect, IL
  • NPI 1487650982
  Medicare reassignment Care Compare group NPD
• Center for Integrative and Functional Health and Wellness LLC

  • Multi-Specialty Clinic/Center
  • Bloomingdale, IL
  • NPI 1649748674
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Northwest Community Hospital

  • General Acute Care Hospital
  • Arlington Heights, IL
  • NPI 1578932869
  Care Compare affiliation
• Northwest Community Hospital

  • General Acute Care Hospital
  • Arlington Heights, IL
  • NPI 1770531600
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536624000000",
    "number": "1346287315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 W NORTHWEST HWY",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600672414",
            "telephone_number": "847-255-7107",
            "fax_number": "847-255-7031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5999 NEW WILKE RD",
            "address_2": "SUITE 200, BLDG 2",
            "city": "ROLLING MEADOWS",
            "state": "IL",
            "postal_code": "600084506",
            "telephone_number": "847-255-7107",
            "fax_number": "847-255-7031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "HETAL",
        "middle_name": "V",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-31",
        "last_updated": "2018-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036100898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glenn J Schwartz, M.D.
• Allyson Scott
• Jennifer E Segilia, MSW
• Senior Healthcare Solutions Inc
• Ghanshyam M Shah, M.D.
• Mary Grace G Shiffer
• Soo Shim, LCSW
• Ruth Lynn Shook, PSY.D.
• Silver Glen Road Opco LLC
• Brandy Silvio, APRN

• Internal Medicine Physician in Rolling Meadows, IL
• Providers in Rolling Meadows, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2018; 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.

Verify at the official NPI Registry.