Active NPI
Sambhav Shah, MD
- Emergency Medicine Physician
- Munster, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 01068910A
- Practice address
- 901 Macarthur Blvd
Munster, IN 46321-2901 - Phone
- (219) 836-1600
- NPI assigned
- Mar 30, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 35080854S | OH | |
| Emergency Medicine Physician | 207P00000X | 01068910A | IN | Primary |
Addresses
Primary practice location
901 Macarthur Blvd
Munster, IN 46321-2901
Mailing address
150 Harvester Dr Ste 300
Burr Ridge, IL 60527-5965
Other practice location 1
36000 Euclid Ave
Willoughby, OH 44094
Phone (440) 953-6203
Other practice location 2
10855 Virginia St
Crown Point, IN 46307-0210
Phone (888) 824-0200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2344216 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10855 Virginia St
Suite 1700
Crown Point, IN 46307-0210
Phone (888) 824-0200
1653 W Congress Pkwy
Chicago, IL 60612-3833
Phone (312) 563-4270
520 S Maple Ave
Oak Park, IL 60304-1022
Phone (708) 660-6665
Hospital & facility affiliations
- Uchicago Medicine Northwest Indiana
- Rush University Medical Center
- Rush Oak Park Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01068910A | IN | MD | Emergency Medicine Physician |
| 35080854S | OH | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rush Oak Park ER Physicians Group | Current | Accepting new patients | |
| Community Care Network Inc | Current | Accepting new patients | |
| St Mary Medical Center Inc | Current | Accepting new patients | |
| University of Chicago | Current | Accepting new patients | |
| Dupage Emergency Physicians Convenient Care LLC | Emergency Medicine | Current | Accepting new patients |
| Rush University Medical Center | Current | Accepting new patients | |
| Rush University Medical Group | Emergency Medicine | Current | Accepting new patients |
| Indiana Physician Services LLC | Emergency Medicine | Past | Accepting new patients |
| Lake Emergency Services Inc | Emergency Medicine | Past | Accepting new patients |
Locations
150 Harvester Dr
Ste 300
Burr Ridge, IL 60527
Phone (773) 702-1061
1653 W Congress Pkwy
Chicago, IL 60612
Phone (312) 942-3138
75 Remittance Dr
Dept 1620
Chicago, IL 60675
1044 N Francisco Ave
Chicago, IL 60622
Phone (773) 292-8227
1700 W Van Buren St
#500
Chicago, IL 60612
Phone (312) 563-2875
75 Remittance Dr
Dept 1611
Chicago, IL 60675
3815 Highland Ave
Downers Grove, IL 60515
Phone (630) 275-5900
15900 W 127th St
Lemont, IL 60439
Phone (630) 243-7100
520 S Maple Ave
Oak Park, IL 60304
Phone (708) 383-9300
10855 Virginia St
Ste 1700
Crown Point, IN 46307
4321 Fir St
East Chicago, IN 46312
Phone (219) 392-1700
1500 S Lake Park Ave
Ste 109
Hobart, IN 46342
Phone (219) 942-0551
1500 S Lake Park Ave
Hobart, IN 46342
Phone (219) 942-0551
901 MacArthur Blvd
Munster, IN 46321
Phone (219) 703-1443
9130 Columbia Ave
Ste A
Munster, IN 46321
Phone (219) 365-1166
Interoperability endpoints
- sshah187256@direct.rush.rush-health.com
Organizations & group practices 9
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.
-
- Emergency Medical Services (Emergency Medicine) Physician
- Oak Park, IL
- NPI 1447260880
-
- Internal Medicine Physician
- Chicago, IL
- NPI 1093819542
Emergency Medicine
-
- Family Medicine Physician
- St John, IN
- NPI 1457610487
-
- Emergency Medicine Physician
- Lemont, IL
- NPI 1922000363
-
- General Acute Care Hospital
- Hobart, IN
- NPI 1962504175
-
- Internal Medicine Physician
- Chicago, IL
- NPI 1689165540
-
- Emergency Medicine Physician
- Valparaiso, IN
- NPI 1184860512
-
- Emergency Medicine Physician
- Willoughby, OH
- NPI 1518927995
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Crown Point, IN
- NPI 1144914532
-
- General Acute Care Hospital
- Oak Park, IL
- NPI 1558391706
-
- Children's Hospital
- Chicago, IL
- NPI 1801908728
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1932213600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727827200000",
"number": "1669433512",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 HARVESTER DR STE 300",
"city": "BURR RIDGE",
"state": "IL",
"postal_code": "605275965"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 MACARTHUR BLVD",
"city": "MUNSTER",
"state": "IN",
"postal_code": "463212901",
"telephone_number": "219-836-1600"
}
],
"practiceLocations": [
{
"address_1": "36000 Euclid Ave",
"address_purpose": "LOCATION",
"city": "Willoughby",
"state": "OH",
"postal_code": "44094",
"country_code": "US",
"telephone_number": "440-953-6203",
"fax_number": "440-953-6202",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10855 Virginia St",
"address_purpose": "LOCATION",
"city": "Crown Point",
"state": "IN",
"postal_code": "463070210",
"country_code": "US",
"telephone_number": "888-824-0200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHAH",
"first_name": "SAMBHAV",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-30",
"last_updated": "2024-10-02",
"certification_date": "2024-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OH",
"license": "35080854S",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IN",
"license": "01068910A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2344216",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Munster, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2024; 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.