Shirali D Shah

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019035305 Issued in IL

Practice address

1004 Tuscany Dr
Streamwood, IL 60107-4529

Phone

(732) 874-0163

NPI assigned

Apr 21, 2023

Sex

Female

Sole proprietor

Yes

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dentist

Education

Univ of Illinois at Chicago College of Dentistry, 2024

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Orasmiles, P.C

  • General Practice Dentistry
  • Hinckley, IL
  • NPI 1871485730
  Medicare reassignment NPD Authorized official
• Orapod LLC

  • General Practice Dentistry
  • Arlington Heights, IL
  • NPI 1780416974
  NPD Authorized official
• Squaw Grove Dental

  • Dental Clinic/Center
  • Hinckley, IL
  • NPI 1710143243
  NPD (past)

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

{
    "created_epoch": "1682035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720483200000",
    "number": "1508553256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 TUSCANY DR",
            "city": "STREAMWOOD",
            "state": "IL",
            "postal_code": "601074529",
            "telephone_number": "732-874-0163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 TUSCANY DR",
            "city": "STREAMWOOD",
            "state": "IL",
            "postal_code": "601074529",
            "telephone_number": "732-874-0163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "SHIRALI",
        "middle_name": "D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-21",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019035305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandria Schoneck
• Philip Schorsch
• Michael A Selvitella, D.C.
• Arya A Shah
• Khusbu D Shah, PA-C
• Sulaiman Shaltoni, D.D.S.
• Vritti Sharma, MD
• Donghi Shin, ACUPUNCTURIST
• Rubeena Nausheen Siddiqui, PHARM D
• Michael Aguilar Sillano, PT

• General Practice Dentistry in Streamwood, IL
• Providers in Streamwood, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.