Shah Medical Associates LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

SHAH MEDICAL ASSOCIATES LLC

Practice address

2560 Hauser Ross Dr
Suite 450
Sycamore, IL 60178-3150

Phone

(703) 964-8199

NPI assigned

May 23, 2006

Last updated

Jul 14, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Asad Shah, MDNPI 1588631378

Title

Owner / Physician

Phone

(703) 964-8199

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Medical Associates of Elgin, LLC

  • Family Medicine Physician
  • Elgin, IL
  • NPI 1558775502
  NPPES parent name

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Asad Shah, MD

  • Internal Medicine Physician
  • Sycamore, IL
  • NPI 1588631378
  Medicare reassignment NPD Authorized official
• Hina Nawab, M.D.

  • Family Medicine Physician
  • Dekalb, IL
  • NPI 1568698918
  Medicare reassignment NPD
• Kristen L Dolder, PA-C

  • Physician Assistant
  • Algonquin, IL
  • NPI 1992072649
  Medicare reassignment
• Megan Jean Martin, FNP

  • Family Nurse Practitioner
  • Sycamore, IL
  • NPI 1366932139
  NPD (past)

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657756800000",
    "number": "1609821008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2560 HAUSER ROSS DR",
            "address_2": "SUITE 450",
            "city": "SYCAMORE",
            "state": "IL",
            "postal_code": "601783150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2560 HAUSER ROSS DR",
            "address_2": "SUITE 450",
            "city": "SYCAMORE",
            "state": "IL",
            "postal_code": "601783150",
            "telephone_number": "703-964-8199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAH MEDICAL ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2022-07-14",
        "certification_date": "2022-07-14",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "ASAD",
        "authorized_official_title_or_position": "OWNER / PHYSICIAN",
        "authorized_official_telephone_number": "703-964-8199",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0001932052",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph M Scianna, MD
• Kimberly Selir, DC
• Ellie Nicole Senica
• Natalie J Sgarlata Donnell
• Sgpatel, D.D.S., P.C. (Kishwaukee Dental)
• Asad Shah, MD
• Jalmine Shah
• Shannon Pociecha Professional Corporation
• Deepak Sharma, APRN
• Morgan Katherine Sheedy, D.C.

• Internal Medicine Physician in Sycamore, IL
• Providers in Sycamore, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.