Individual provider Active NPI

Biren Shah, DPM

  • Foot & Ankle Surgery Podiatrist
  • Rockford, IL
National Provider Identifier
1528455565
Registry record updated Feb 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
016.005692 Issued in IL
Practice address
6090 Strathmoor Dr Ste 6
Rockford, IL 61107-5200
Phone
(815) 282-8145
Fax
(815) 282-2602
NPI assigned
Apr 16, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X PO 3727 FL
Student in an Organized Health Care Education/Training Program 390200000X FL
Foot & Ankle Surgery Podiatrist 213ES0103X 016.005692 IL Primary

Addresses

Primary practice location

6090 Strathmoor Dr Ste 6
Rockford, IL 61107-5200

Mailing address

6090 Strathmoor Dr
Ste 6
Rockford, IL 61107-5200
Phone (815) 282-8145

Other practice location 1

2039 Little Rd Ste A
Trinity, FL 34655-4421
Phone (847) 254-5939

Other practice location 2

2385 Bowes Rd Ste 350
Elgin, IL 60123-5501
Phone (815) 282-8145

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160809000541 IL Practitioner - Podiatry 8123349735 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6090 Strathmoor Dr
Suite 6
Rockford, IL 61107-5200
Phone (815) 282-8145

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions11
Removal of nail tissue21

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO 3727FLMDFoot & Ankle Surgery Podiatrist
016.005692ILMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Shah Foot & Ankle LLC Foot & Ankle Surgery CurrentSince Jul 5, 2016 Accepting new patients

Locations

2385 Bowes Rd
Ste 350
Elgin, IL 60123
Phone (630) 822-2445

6090 Strathmoor Dr
Ste 6
Rockford, IL 61107
Phone (815) 282-8145

Organizations & group practices 1

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": "1429142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740528000000",
    "number": "1528455565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6090 STRATHMOOR DR",
            "address_2": "STE 6",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611075200",
            "telephone_number": "815-282-8145",
            "fax_number": "815-282-2602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6090 STRATHMOOR DR STE 6",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611075200",
            "telephone_number": "815-282-8145",
            "fax_number": "815-282-2602"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2039 Little Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Trinity",
            "state": "FL",
            "postal_code": "346554421",
            "country_code": "US",
            "telephone_number": "847-254-5939",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2385 Bowes Rd Ste 350",
            "address_purpose": "LOCATION",
            "city": "Elgin",
            "state": "IL",
            "postal_code": "601235501",
            "country_code": "US",
            "telephone_number": "815-282-8145",
            "fax_number": "815-282-2602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH",
        "first_name": "BIREN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-16",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO 3727",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016.005692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockford, IL

Sources for this page

Verify at the official NPI Registry.