Individual provider Active NPI

Rinku H Shah, D.O.

  • Family Medicine Physician
  • Chicago, IL
National Provider Identifier
1528325321
Registry record updated Feb 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036.138553 Issued in IL
Practice address
1605 S Michigan Ave Unit 1
Chicago, IL 60616-1209
Phone
(312) 535-5770
Fax
(312) 535-5770
NPI assigned
Apr 18, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X IL
Family Medicine Physician 207Q00000X 036.138553 IL Primary

Addresses

Primary practice location

1605 S Michigan Ave Unit 1
Chicago, IL 60616-1209

Mailing address

1605 S Michigan Ave Unit 1
Chicago, IL 60616-1209
Phone (312) 535-5770

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
I20151110002161 IL Practitioner - Family Practice 0345550984 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1605 S Michigan Ave
Suite B
Chicago, IL 60616-1209
Phone (312) 535-5770

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.138553ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Trivedimd LLC CurrentSince Oct 22, 2019 Accepting new patients
TT Medical Group LLC Family Medicine CurrentSince Feb 1, 2021 Accepting new patients
Physicians Immediate Care North Chicago LLC CurrentSince Dec 6, 2016 Accepting new patients
Innovative Platinum Care, SC Family Medicine CurrentSince Oct 13, 2018 Accepting new patients
Advocate Health and Hospitals Corporation Past Accepting new patients

Locations

2400 N Ashland Ave
Chicago, IL 60614
Phone (773) 259-7180

1605 S Michigan Ave
Ste B
Chicago, IL 60616
Phone (312) 535-5770

4211 N Cicero Ave
Chicago, IL 60641
Phone (773) 794-1000

1605 S Michigan Ave
Chicago, IL 60616
Phone (312) 212-1404

2077 N Clybourn Ave
Chicago, IL 60614
Phone (773) 886-1500

1605 S Michigan Ave
Unit 1
Chicago, IL 60616
Phone (312) 535-5770

600 W Adams St
Chicago, IL 60661
Phone (312) 506-0900

2400 N Ashland Ave
Ste 150
Chicago, IL 60614
Phone (773) 270-5600

741 S McHenry Ave
Ste Cd
Crystal Lake, IL 60014
Phone (630) 533-4038

3475 S Alpine Rd
Rockford, IL 61109
Phone (815) 874-8000

Interoperability endpoints

  • Direct secure messaging: rinku.shah.1@22028.direct.athenahealth.com

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": "1334707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614211200000",
    "number": "1528325321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 S MICHIGAN AVE UNIT 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606161209",
            "telephone_number": "312-535-5770",
            "fax_number": "312-535-5770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 S MICHIGAN AVE UNIT 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606161209",
            "telephone_number": "312-535-5770",
            "fax_number": "312-535-5770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "RINKU",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-18",
        "last_updated": "2021-02-25",
        "certification_date": "2020-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036.138553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.