Active NPI
Sonal Shah, M.D.
- Hospitalist Physician
- Carbondale, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 036141364
- Practice address
- 405 W Jackson St
Carbondale, IL 62901-1462 - Phone
- (618) 549-0721
- Fax
- (618) 529-0479
- NPI assigned
- Jun 30, 2014
- Last updated
- Jan 6, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 036141364 | IL | |
| Hospitalist Physician | 208M00000X | 036141364 | IL | Primary |
Addresses
Primary practice location
405 W Jackson St
Carbondale, IL 62901-1462
Mailing address
PO Box 3988
Carbondale, IL 62902-3988
Phone (618) 457-5200
Other practice location 1
2 S Hospital Dr
Murphysboro, IL 62966-3333
Phone (618) 684-3156 ext. 55321
Other practice location 2
201 S 14th St
Herrin, IL 62948-3631
Phone (618) 942-2171 ext. 35760
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 214881 | Other | IL | MULTISPECIALTY GROUP PTAN |
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sshah15803@sih.direct-ci.com | ||
| Direct Messaging Address | sshah15803@sih.direct-ci.com | ||
| Direct Messaging Address | sshah15803@sih.direct-ci.com |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Southern Illinois University School of Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3331 W Deyoung St
Marion, IL 62959-5896
Phone (618) 998-7600
Hospital & facility affiliations
- Heartland Regional Medical Center
- Deaconess Illinois Union County
- Deaconess Hospital Inc
- Deaconess Illinois Crossroads
- Fairfield Memorial Hospital 1
- Deaconess Illinois Union County
Merit-based Incentive Payment System (MIPS)
- Final score
- 77.51 of 100
- Quality
- 49.04
- Promoting interoperability
- 95
- Improvement activities
- 40
- Cost
- 69.42
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036141364 | IL | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deaconess Illinois Specialty Clinic, Inc. | Hospitalist | Current | Accepting new patients |
| 24 On Physicians, PC | Hospitalist | Current | Accepting new patients |
| 24 On Physicians, P.C. | Hospitalist | Current | Accepting new patients |
| Deaconess Illinois Specialty Clinic, Inc. | Family Medicine | Current | Accepting new patients |
Locations
405 W Jackson St
Carbondale, IL 62901
303 S Commercial St
Harrisburg, IL 62946
Phone (618) 767-6050
201 S 14th St
Herrin, IL 62948
Phone (618) 942-2171
3331 W Deyoung St
Marion, IL 62959
Phone (618) 985-9140
2 S Hospital Dr
Murphysboro, IL 62966
Phone (618) 684-3156
1100 E Norris Dr
Ottawa, IL 61350
Phone (815) 416-1224
Interoperability endpoints
- sshah01@yourcarecommunity.org
- sshah15803@sih.direct-ci.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Deaconess IL Specialty 3331 DeYoung
- Surgery Physician
- Marion, IL
- NPI 1972210235
Family Medicine
-
- Hospitalist Physician
- Ottawa, IL
- NPI 1346480431
-
dba SIH Medical Group
- Internal Medicine Physician
- Carbondale, IL
- NPI 1770656837
-
dba Deaconess Care Group Illinois Union County
- Hospitalist Physician
- Anna, IL
- NPI 1225858251
-
- Hospitalist Physician
- Attleboro, MA
- NPI 1790104511
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Crossroads Community Hospital
- General Acute Care Hospital
- Mount Vernon, IL
- NPI 1124745807
-
dba Deaconess Illinois Union County
- Critical Access Hospital
- Anna, IL
- NPI 1710604483
-
dba Deaconess Illinois Medical Center
- General Acute Care Hospital
- Marion, IL
- NPI 1750007266
-
- Critical Access Hospital
- Fairfield, IL
- NPI 1255422416
-
dba The Women's Hospital
- General Acute Care Hospital
- Newburgh, IN
- NPI 1780535427
-
- General Acute Care Hospital
- Evansville, IN
- NPI 1053361642
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609891200000",
"number": "1598170458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3988",
"city": "CARBONDALE",
"state": "IL",
"postal_code": "629023988",
"telephone_number": "618-457-5200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 W JACKSON ST",
"city": "CARBONDALE",
"state": "IL",
"postal_code": "629011462",
"telephone_number": "618-549-0721",
"fax_number": "618-529-0479"
}
],
"practiceLocations": [
{
"address_1": "2 S Hospital Dr",
"address_purpose": "LOCATION",
"city": "Murphysboro",
"state": "IL",
"postal_code": "629663333",
"country_code": "US",
"telephone_number": "618-684-3156 x55321",
"fax_number": "618-684-1040",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "201 S 14th St",
"address_purpose": "LOCATION",
"city": "Herrin",
"state": "IL",
"postal_code": "629483631",
"country_code": "US",
"telephone_number": "618-942-2171 x35760",
"fax_number": "618-988-6166",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHAH",
"first_name": "SONAL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-30",
"last_updated": "2021-01-06",
"certification_date": "2021-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036141364",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "IL",
"license": "036141364",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MULTISPECIALTY GROUP PTAN",
"identifier": "214881",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sshah15803@sih.direct-ci.com",
"affiliation": "N",
"address_1": "405 W Jackson St",
"city": "Carbondale",
"state": "IL",
"country_code": "US",
"postal_code": "629011462",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sshah15803@sih.direct-ci.com",
"affiliation": "N",
"address_1": "201 S 14th St",
"city": "Herrin",
"state": "IL",
"country_code": "US",
"postal_code": "629483631",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sshah15803@sih.direct-ci.com",
"affiliation": "N",
"address_1": "2 S Hospital Dr",
"city": "Murphysboro",
"state": "IL",
"country_code": "US",
"postal_code": "629663333",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Carbondale, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2021; 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.