NPIMap

Individual provider Active NPI

Nisha J Shah, PA-C, DMSC

  • Physician Assistant
  • Hinsdale, IL
National Provider Identifier
1346951316
Registry record updated Apr 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
085009076 Issued in IL
Practice address
911 N Elm St Ste 128
Hinsdale, IL 60521-3640
Phone
(630) 856-7460
NPI assigned
Dec 9, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 085009076 IL Primary

Addresses

Primary practice location

911 N Elm St Ste 128
Hinsdale, IL 60521-3640

Mailing address

265 Carey Dr
Roselle, IL 60172-4908
Phone (630) 770-2888

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
I20230206000014 IL Practitioner - Physician Assistant 5496127243 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vascular and Interventional Professionals, LLCGroup PAC ID 2365758224, 31 clinicians
Uropartners LLCGroup PAC ID 9436182946, 133 clinicians

Practice addresses (Care Compare)

120 N Oak St
Hinsdale, IL 60521-3829
Phone (630) 856-9000

1425 N Randall Rd
Elgin, IL 60123-2300
Phone (847) 742-9800

1435 N Randall Rd
Suite 410
Elgin, IL 60123-2305
Phone (224) 783-8478

1660 Feehanville Dr
Suite 200
Mount Prospect, IL 60056-6036
Phone (847) 823-3185

2225 Enterprise Dr
Suite 2511
Westchester, IL 60154-5805
Phone (708) 486-0076

2235 Enterprise Dr
Suite 3510
Westchester, IL 60154-5806
Phone (847) 957-4670

500 Remington Blvd
Bolingbrook, IL 60440-4906
Phone (630) 312-5000

5101 Willow Springs Rd
La Grange, IL 60525-2600
Phone (708) 245-9000

701 Winthrop Ave
Glendale Heights, IL 60139-1405
Phone (630) 545-8000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
085009076ILMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Uropartners, LLC CurrentSince Sep 1, 2024 Accepting new patients
Uropartners, LLC CurrentSince Sep 1, 2024 Accepting new patients

Locations

801 S Milwaukee Ave
Libertyville, IL 60048
Phone (847) 362-2900

2225 Enterprise Dr
Ste 2511
Westchester, IL 60154
Phone (708) 486-0076

Interoperability endpoints

  • Direct secure messaging: nishashah@uropart.allscriptsdirect.net

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 9

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": "1670544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745884800000",
    "number": "1346951316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 CAREY DR",
            "city": "ROSELLE",
            "state": "IL",
            "postal_code": "601724908",
            "telephone_number": "630-770-2888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 N ELM ST STE 128",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605213640",
            "telephone_number": "630-856-7460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "NISHA",
        "middle_name": "J",
        "credential": "PA-C, DMSC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-09",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085009076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hinsdale, IL

Sources for this page

Verify at the official NPI Registry.