Aditi Harshad Shah, M.D
Individual provider Active NPI Internal Medicine Physician · Kildeer, IL
NPI 1497084594 · NPPES record last updated Jun 29, 2023
Key facts
- NPI
- 1497084594
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 036.124432 (IL)
- Practice address
- 22611 N Foxtail Dr
Kildeer, IL 60047-1818 - Phone
- (476) 436-7908
- NPI assigned
- Dec 18, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100817001403 | IL | Practitioner - Internal Medicine | 6901930635 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.124432 | IL | MD | Internal Medicine Physician |
| 036124432 | IL | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Best Practices Inpatient Care, LTD. | Internal Medicine | Current |
Accepting new patients |
| Best Practices Inpatient Care, LTD. | Internal Medicine | Current | Accepting new patients |
| Best Practices Inpatient Care,LTD | Internal Medicine | Current |
Accepting new patients |
Locations
800 W Central Rd
Arlington Hts, IL 60005
Phone (847) 618-6150
106 Barrington Commons Ct
Unit 1790
Barrington, IL 60011
Phone (847) 719-2220
3880 Salem Lake Dr
#F
Long Grove, IL 60047
Phone (847) 235-3072
3880 Salem Lake Dr
Ste F
Long Grove, IL 60047
Phone (847) 719-2220
450 W State Route 22
South Barrington, IL 60010
Phone (847) 381-0123
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 036124432 | IL | |
| Internal Medicine Physician | 207R00000X | 036.124432 | IL | Yes |
Addresses
Primary practice location
22611 N Foxtail Dr
Kildeer, IL 60047-1818
Mailing address
22611 N Foxtail Dr
Kildeer, IL 60047-1818
Phone (476) 436-7908
Other practice location 1
3880 Salem Lake Dr
Ste F
Long Grove, IL 60047-5292
Phone (847) 719-2220
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036124432 | Medicaid | IL |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ashah234336@direct.myadvocateaurora.org | Direct | |
| FHIR URL | https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ |
Other providers in Kildeer, IL
- Arlyn Joy G Quitevis
- Carole Ann Rosanova
- Jennifer Ann Sabath
- Paula J Savarese
- Aakar Shah
- Jo Ellen Shield
- Gregory Skladzien
- Visionworks Inc.
- Evelyn Strzyz White
- Julia Marie Wol
All providers in Kildeer, IL · Internal Medicine Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 29, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.