Active NPI
Khusbu D Shah, PA-C
- Physician Assistant
- Streamwood, IL
National Provider Identifier
1457083677
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 135 E Irving Park Rd
Streamwood, IL 60107-2950 - Phone
- (844) 599-3700
- NPI assigned
- Jun 27, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | IL | Primary | |
| Physician Assistant | 363A00000X | PA68128 | CA |
Addresses
Primary practice location
135 E Irving Park Rd
Streamwood, IL 60107-2950
Mailing address
1826 Largo CT
Schaumburg, IL 60194-2227
Phone (630) 460-0029
Other practice location 1
15525 Pomerado Rd Ste A1
Poway, CA 92064-2425
Phone (858) 485-6644
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230612000572 | IL | Order and Referring Only - Physician Assistant | 0749647477 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greater Family Health | Past | Accepting new patients |
Interoperability endpoints
- khusbu.shah.p1@direct.gefcc.nextgenshare.com
Organizations & group practices 1
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.
-
- Federally Qualified Health Center (FQHC)
- Elgin, IL
- NPI 1447381074
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1457083677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1826 LARGO CT",
"city": "SCHAUMBURG",
"state": "IL",
"postal_code": "601942227",
"telephone_number": "630-460-0029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "135 E IRVING PARK RD",
"city": "STREAMWOOD",
"state": "IL",
"postal_code": "601072950",
"telephone_number": "844-599-3700"
}
],
"practiceLocations": [
{
"address_1": "15525 Pomerado Rd Ste A1",
"address_purpose": "LOCATION",
"city": "Poway",
"state": "CA",
"postal_code": "920642425",
"country_code": "US",
"telephone_number": "858-485-6644",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHAH",
"first_name": "KHUSBU",
"middle_name": "D",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-27",
"last_updated": "2026-07-13",
"certification_date": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IL",
"license": null,
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA68128",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Streamwood, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.