Active NPI
Tejal Uday Shah, M.D.
- Endocrinology, Diabetes & Metabolism Physician
- Huntley, IL
National Provider Identifier
1659576536
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- 036147983
- Practice address
- 10370 Haligus Rd Ste 117
Huntley, IL 60142-9582 - Phone
- (815) 344-3900
- Fax
- (847) 802-7207
- NPI assigned
- Jun 19, 2007
- Last updated
- Apr 7, 2025
- 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 |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 53296-20 | WI | |
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 036147983 | IL | Primary |
Addresses
Primary practice location
10370 Haligus Rd Ste 117
Huntley, IL 60142-9582
Mailing address
10370 Haligus Rd Ste 117
Huntley, IL 60142-9582
Phone (815) 344-3900
Other practice location 1
5900 S Lake Dr
Cudahy, WI 53110-3171
Phone (414) 489-4015
Other practice location 2
360 Station Dr Ste 300
Crystal Lake, IL 60014-8003
Phone (815) 344-3900
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250416003997 | IL | Practitioner - Internal Medicine | 5193951788 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 53296-20 | WI | MD | Endocrinology, Diabetes & Metabolism Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743984000000",
"number": "1659576536",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10370 HALIGUS RD STE 117",
"city": "HUNTLEY",
"state": "IL",
"postal_code": "601429582",
"telephone_number": "815-344-3900",
"fax_number": "847-802-7207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10370 HALIGUS RD STE 117",
"city": "HUNTLEY",
"state": "IL",
"postal_code": "601429582",
"telephone_number": "815-344-3900",
"fax_number": "847-802-7207"
}
],
"practiceLocations": [
{
"address_1": "5900 S Lake Dr",
"address_purpose": "LOCATION",
"city": "Cudahy",
"state": "WI",
"postal_code": "531103171",
"country_code": "US",
"telephone_number": "414-489-4015",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "360 Station Dr Ste 300",
"address_purpose": "LOCATION",
"city": "Crystal Lake",
"state": "IL",
"postal_code": "600148003",
"country_code": "US",
"telephone_number": "815-344-3900",
"fax_number": "815-356-2388",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHAH",
"first_name": "TEJAL",
"middle_name": "UDAY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-19",
"last_updated": "2025-04-07",
"certification_date": "2025-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "WI",
"license": "53296-20",
"primary": false
},
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "IL",
"license": "036147983",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Huntley, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2025; 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.