Ankita Shah, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

085005297 Issued in IL

Practice address

66 Miller Dr
Suite 101
North Aurora, IL 60542-5143

Phone

(630) 504-2200

NPI assigned

Oct 22, 2014

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Kaneland Allergy and Asthma Center SC

  • Allergy & Immunology Physician
  • North Aurora, IL
  • NPI 1811289325
  Medicare reassignment
• Medexpress Urgent Care Illinois, P.C.

  • Urgent Care Clinic/Center
  • Downers Grove, IL
  • NPI 1922530047
  NPD

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

{
    "created_epoch": "1413936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413936000000",
    "number": "1437553294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 MILLER DR",
            "address_2": "SUITE 101",
            "city": "NORTH AURORA",
            "state": "IL",
            "postal_code": "605425143",
            "telephone_number": "630-504-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 MILLER DR",
            "address_2": "SUITE 101",
            "city": "NORTH AURORA",
            "state": "IL",
            "postal_code": "605425143",
            "telephone_number": "630-504-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "ANKITA",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-22",
        "last_updated": "2014-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085005297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda K.L. Schaffer, PT, MSPT, CSCS. OCS
• Hollie Schmid
• Carrie Anne Schulte, FNP-BC
• Andrew Bryan Seppala, D.C.
• Setu Dental PLLC
• Katherine Sheehan, LSW
• Jacy Marie Shoener, M.A.
• Melissa Ann Simonek
• Sleep Solutions of North Aurora PC
• Angela Dezel Smith

• Physician Assistant in North Aurora, IL
• Providers in North Aurora, IL by specialty
• Physician Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.