Subhash K Shah, M.D.

Primary specialty

Rehabilitation PractitionerTaxonomy code 225400000X

License

036051531 Issued in IL

Practice address

11413 Burr Oak LN
Burr Ridge, IL 60527-8008

Phone

(312) 567-5560

Fax

(773) 337-9106

NPI assigned

Feb 14, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Shah Rehab Services, LTD

  • Rehabilitation Practitioner
  • Chicago, IL
  • NPI 1295795953
  NPD (past) Authorized official
• Metropolitan Surgical Assoc Inc

  • Surgery Physician
  • Chicago, IL
  • NPI 1336106442
  NPD (past)

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

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396224000000",
    "number": "1518931906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 206",
            "city": "WILLOW SPRINGS",
            "state": "IL",
            "postal_code": "604800206",
            "telephone_number": "312-567-5560",
            "fax_number": "773-337-9106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11413 BURR OAK LN",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605278008",
            "telephone_number": "312-567-5560",
            "fax_number": "773-337-9106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "SUBHASH",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-14",
        "last_updated": "2014-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": "IL",
            "license": "036051531",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036051531",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS PROVIDER #",
            "identifier": "01619136",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Grace Miyoko Sells, CNM
• Carol E Semrad, MD
• Jasveen Sethi, DDS
• Chirag Shah, DC
• Deval Shah, DDS
• Eric Shappell, MD
• Mitchell P Sharkey
• Andrea Shashoua, MD
• Angela Marie Shaw, PA-C
• James Shehorn, AUDIOLOGIST

• Rehabilitation Practitioner in Burr Ridge, IL
• Providers in Burr Ridge, IL by specialty
• Rehabilitation Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.