Individual provider Active NPI

Neil Shah, D.O.

  • Internal Medicine Physician
  • Schaumburg, IL
National Provider Identifier
1487801312
Registry record updated Jun 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036123054 Issued in IL
Practice address
519 S Roselle Rd
Schaumburg, IL 60193-2925
Phone
(847) 985-0600
Fax
(847) 985-3786
NPI assigned
Aug 21, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Physician 2083X0100X 036123054 IL
Internal Medicine Physician 207R00000X 036123054 IL Primary

Addresses

Primary practice location

519 S Roselle Rd
Schaumburg, IL 60193-2925

Mailing address

519 S. Roselle Rd.
Immediate Care
Schaumburg, IL 60193-2925
Phone (847) 985-0600

Other practice location 1

199 W Rand Rd
MT Prospect, IL 60056-1151
Phone (847) 618-5450

Other practice location 2

21481 N Rand Rd
Kildeer, IL 60047-3061
Phone (847) 618-9500

Other practice location 3

15 S McHenry
Immediate Care
Buffalo Grove, IL 60089-6008
Phone (847) 459-6100

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nshah116822@direct.nch.org

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110822000106 IL Practitioner - Internal MedicinePractitioner - Preventive Medicine 9739359217 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
036123054ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Community Health Services Inc Internal Medicine CurrentSince Sep 17, 2018 Accepting new patients
Endeavor Health Medical Group Internal Medicine CurrentSince Dec 4, 2023 Accepting new patients
Northwest Community Health Services Inc CurrentSince Sep 17, 2018 Accepting new patients
Endeavor Health Medical Group CurrentSince Dec 4, 2023 Accepting new patients
Bonaventure Medical Foundation, LLC PastSince Apr 1, 2009 Accepting new patients

Locations

1051 W Rand Rd
Arlington Hts, IL 60004
Phone (847) 221-4601

15 S McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-6100

1450 Busch Pkwy
Buffalo Grove, IL 60089
Phone (847) 459-7860

9532 Eagle Way
Chicago, IL 60678

25233 Network Pl
Chicago, IL 60673

2650 Ridge Ave
Ste 1223
Evanston, IL 60201
Phone (847) 982-3175

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

21481 N Rand Rd
Kildeer, IL 60047
Phone (847) 618-9696

199 W Rand Rd
Mt Prospect, IL 60056
Phone (847) 618-5400

519 S Roselle Rd
Schaumburg, IL 60193
Phone (847) 618-0535

Interoperability endpoints

  • Direct secure messaging: nshah116822@direct.nch.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1219276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781568000000",
    "number": "1487801312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 S. ROSELLE RD.",
            "address_2": "IMMEDIATE CARE",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601932925",
            "telephone_number": "847-985-0600",
            "fax_number": "847-985-3786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 S ROSELLE RD",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601932925",
            "telephone_number": "847-985-0600",
            "fax_number": "847-985-3786"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "199 W Rand Rd",
            "address_purpose": "LOCATION",
            "city": "MT Prospect",
            "state": "IL",
            "postal_code": "600561151",
            "country_code": "US",
            "telephone_number": "847-618-5450",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21481 N Rand Rd",
            "address_purpose": "LOCATION",
            "city": "Kildeer",
            "state": "IL",
            "postal_code": "600473061",
            "country_code": "US",
            "telephone_number": "847-618-9500",
            "fax_number": "847-618-9654",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15 S McHenry",
            "address_2": "Immediate Care",
            "address_purpose": "LOCATION",
            "city": "Buffalo Grove",
            "state": "IL",
            "postal_code": "600896008",
            "country_code": "US",
            "telephone_number": "847-459-6100",
            "fax_number": "847-541-4857",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH",
        "first_name": "NEIL",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-21",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "IL",
            "license": "036123054",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036123054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nshah116822@direct.nch.org",
            "affiliation": "N",
            "address_1": "15 S McHenry",
            "address_2": "Immediate Care",
            "city": "Buffalo Grove",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600896008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Schaumburg, IL

Sources for this page

Verify at the official NPI Registry.