NPIMap

Individual provider Active NPI

Radhika Choksi Shah, MD

  • Pediatrics Physician
  • Naperville, IL
National Provider Identifier
1649447152
Registry record updated Aug 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
036130268 Issued in IL
Practice address
2007 95TH St
Lower Level, Suite a
Naperville, IL 60564-8459
Phone
(630) 848-1700
Fax
(630) 848-1718
NPI assigned
May 14, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 036130268 IL Primary

Addresses

Primary practice location

2007 95TH St
Lower Level, Suite a
Naperville, IL 60564-8459

Mailing address

2007 95TH St
Lower Level, Suite a
Naperville, IL 60564-8459
Phone (630) 848-1700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036130268ILMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Health Partners Pediatrics Past Accepting new patients

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": "1210723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377216000000",
    "number": "1649447152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2007 95TH ST",
            "address_2": "LOWER LEVEL, SUITE A",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605648459",
            "telephone_number": "630-848-1700",
            "fax_number": "630-848-1718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2007 95TH ST",
            "address_2": "LOWER LEVEL, SUITE A",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605648459",
            "telephone_number": "630-848-1700",
            "fax_number": "630-848-1718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "RADHIKA",
        "middle_name": "CHOKSI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-14",
        "last_updated": "2013-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036130268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.