Rohan Vikram Shah, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019030802 Issued in IL

Practice address

1003 S Washington St Ste 225
Naperville, IL 60540-7445

Phone

(630) 796-0030

NPI assigned

Aug 5, 2016

Last updated

Dec 7, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sandwich Dentistry LLC

  • Dental Clinic/Center
  • Sandwich, IL
  • NPI 1427874593
  NPD Authorized official
• Washington Dental Studio

  • Dentist
  • Naperville, IL
  • NPI 1720664436
  NPD Authorized official
• Dental Professionals of Illinois, P.C.

  dba Bloomington Smile Center

  • General Practice Dentistry
  • Bloomington, IL
  • NPI 1447484571
  NPD (past)

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

{
    "created_epoch": "1470355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733529600000",
    "number": "1558815738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10735 CLOCKTOWER DR, UNIT 303",
            "address_2": "UNIT 303",
            "city": "COUNTRYSIDE",
            "state": "IL",
            "postal_code": "60525",
            "telephone_number": "832-766-0144",
            "fax_number": "832-766-0144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 S WASHINGTON ST STE 225",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605407445",
            "telephone_number": "630-796-0030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "ROHAN",
        "middle_name": "VIKRAM",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-05",
        "last_updated": "2024-12-07",
        "certification_date": "2024-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019030802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nick Shah, MD
• Pooja Patel Shah, PSY.D
• Rachel Shah, PT, DPT
• Radhika Choksi Shah, MD
• Reshma M Shah, PHARM D
• Sandhya Bharat Shah, RPH
• Shivani Shah, M.D.
• Sumin Shah, DO
• Lena Shahbandar, M.D.
• Mina Shahrokh, PHARMD

• General Practice Dentistry in Naperville, IL
• Providers in Naperville, 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 Dec 7, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.