Individual provider Active NPI

Shefali K Shah, MD

  • Family Medicine Physician
  • Chicago, IL
National Provider Identifier
1609815414
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036111947 Issued in IL
Practice address
2623 N Halsted St
Chicago, IL 60614-2393
Phone
(773) 929-7410
Fax
(773) 929-7403
NPI assigned
Jun 6, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036111947 IL Primary

Addresses

Primary practice location

2623 N Halsted St
Chicago, IL 60614-2393

Mailing address

29373 Network PL
Chicago, IL 60673-1293
Phone (847) 390-5900

Other practice location 1

2526 N Lincoln Ave
Chicago, IL 60614-2353
Phone (773) 929-7410

Other identifiers 3

IdentifierTypeStateIssuer
036111947MedicaidIL
110008973OtherRAILROAD MEDICARE
31600190OtherILBCBS OF IL

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address sshah255336@direct.myadvocateaurora.org Direct
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

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
I20051122000680 IL Practitioner - Family Practice 5991725798 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1435 W Webster Ave
Chicago, IL 60614-3049
Phone (630) 368-1771

214 McHenry Rd
Buffalo Grove, IL 60089-6748
Phone (847) 459-1160

3936 N Milwaukee Ave
Chicago, IL 60641-2703
Phone (773) 736-6125

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Shefali Shah MD SC Family Medicine CurrentSince Jul 1, 2014 Accepting new patients
Park Primary Care LTD CurrentSince Jan 1, 2010 Accepting new patients
The Headache Lab CurrentSince Jan 1, 2010 Accepting new patients
Advocate Health and Hospitals Corporation Current Accepting new patients
Advocate Health & Hospitals Corp. CurrentSince Feb 24, 2025 Accepting new patients
Evergreen Care Center LTD CurrentSince Jan 1, 2010 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Feb 24, 2025 Accepting new patients

Locations

214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160

1435 W Webster Ave
Chicago, IL 60614
Phone (773) 356-7733

2526 N Lincoln Ave
Chicago, IL 60614
Phone (773) 929-7410

75 Remittance Dr
Dept 1704
Chicago, IL 60675

29373 Network Pl
Chicago, IL 60673

102 N Main St
#3
Columbia, IL 62236

9760 S Kedzie Ave
Ste 3
Evergreen Pk, IL 60805
Phone (708) 423-6209

9760 S Kedzie Ave
Ste 2
Evergreen Pk, IL 60805
Phone (708) 423-8150

Interoperability endpoints

  • Direct secure messaging: sshah255336@direct.myadvocateaurora.org

Organizations & group practices 7

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741132800000",
    "number": "1609815414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29373 NETWORK PL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606731293",
            "telephone_number": "847-390-5900",
            "fax_number": "847-390-4757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2623 N HALSTED ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606142393",
            "telephone_number": "773-929-7410",
            "fax_number": "773-929-7403"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2526 N Lincoln Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606142353",
            "country_code": "US",
            "telephone_number": "773-929-7410",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH",
        "first_name": "SHEFALI",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-06",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036111947",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036111947",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110008973",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF IL",
            "identifier": "31600190",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sshah255336@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2623 N Halsted St",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606142393",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "2623 N Halsted St",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606142393",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.