Active NPI
Biraj M. Shah, D.D.S., M.D.
- Oral & Maxillofacial Surgery (D.M.D.)
- Chicago, IL
National Provider Identifier
1669746418
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)
- License
- 036-147405
- Practice address
- 1900 W Polk St Ste 612
Chicago, IL 60612 - Phone
- (312) 864-3202
- NPI assigned
- Feb 25, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 019.031724 | IL | |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 036147405 | IL | |
| Oral & Maxillofacial Surgery (D.M.D.) | 204E00000X | 036-147405 | IL | Primary |
Addresses
Primary practice location
1900 W Polk St Ste 612
Chicago, IL 60612
Mailing address
1900 W Polk St Ste 612
Chicago, IL 60612-3723
Phone (312) 864-3202
Other practice location 1
676 N Saint Clair St Ste 520
Chicago, IL 60611-2982
Phone (312) 926-5992
Other practice location 2
811 W Wellington Ave
Chicago, IL 60657-5123
Phone (773) 245-5253
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | biraj.shah@direct.ccprovider.org | Direct | Cook County |
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Maxillofacial Surgery
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1901 W Harrison St
Chicago, IL 60612-3714
Phone (312) 633-7292
500 E 51St St
Chicago, IL 60615-2494
Phone (312) 572-2000
811 W Wellington Ave
Chicago, IL 60657-5123
Phone (773) 296-7645
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019.031724 | IL | MD | Oral and Maxillofacial Surgery (Dentist) |
| 036147405 | IL | MD | Oral and Maxillofacial Surgery (Dentist) |
| 036-147405 | IL | MD | Oral & Maxillofacial Surgery (D.M.D.) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cook County | Current | Accepting new patients | |
| Northwestern Medical Faculty Foundation | Current | Accepting new patients | |
| Oral and Maxilloficial Head and Neck Associates LLC | Oral & Maxillofacial Surgery | Current | Accepting new patients |
| Cook County | Current | Accepting new patients | |
| Northwestern Medical Faculty Foundation | Current | Accepting new patients | |
| Cook County | Current | Accepting new patients | |
| John H Stroger Jr Hospital Cook County | Past | Accepting new patients |
Locations
Carol Stream, IL 60122
Phone (630) 933-3300
811 W Wellington Ave
Chicago, IL 60657
Phone (773) 871-1461
1900 W Polk St
Ste 612
Chicago, IL 60612
Phone (312) 864-3202
836 W Wellington Ave
Chicago, IL 60657
Phone (773) 296-7054
1901 W Harrison St
Chicago, IL 60612
Phone (312) 864-5100
676 N Saint Clair St
Ste 520
Chicago, IL 60611
Phone (312) 926-5992
500 E 51st St
Chicago, IL 60615
Phone (312) 572-2000
1969 W Ogden Ave
Chicago, IL 60612
Phone (312) 864-3600
Interoperability endpoints
- biraj.shah@direct.ccprovider.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.
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1588612832
-
- Oral & Maxillofacial Surgery (D.M.D.)
- Chicago, IL
- NPI 1821652736
-
- Multi-Specialty Clinic/Center
- Carol Stream, IL
- NPI 1346235314
-
- Emergency Medicine Physician
- Chicago, IL
- NPI 1821385170
-
- Multi-Specialty Clinic/Center
- Chicago, IL
- NPI 1831219450
-
- Durable Medical Equipment & Medical Supplies
- Chicago, IL
- NPI 1417718479
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1992914733
Hospital & facility affiliations 28
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": "1330128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772496000000",
"number": "1669746418",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900 W POLK ST STE 612",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606123723",
"telephone_number": "312-864-3202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 W POLK ST STE 612",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60612",
"telephone_number": "312-864-3202"
}
],
"practiceLocations": [
{
"address_1": "676 N Saint Clair St Ste 520",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606112982",
"country_code": "US",
"telephone_number": "312-926-5992",
"fax_number": "312-695-4303",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "811 W Wellington Ave",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606575123",
"country_code": "US",
"telephone_number": "773-245-5253",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHAH",
"first_name": "BIRAJ",
"middle_name": "M.",
"credential": "D.D.S., M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-02-25",
"last_updated": "2026-03-03",
"certification_date": "2026-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "IL",
"license": "019.031724",
"primary": false
},
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "IL",
"license": "036147405",
"primary": false
},
{
"code": "204E00000X",
"taxonomy_group": "",
"desc": "Oral & Maxillofacial Surgery",
"state": "IL",
"license": "036-147405",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "biraj.shah@direct.ccprovider.org",
"affiliation": "Y",
"affiliationName": "Cook County",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1969 W. Ogden Ave.",
"city": "Chicago",
"state": "IL",
"country_code": "US",
"postal_code": "606123723",
"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": "811 W Wellington Ave",
"city": "Chicago",
"state": "IL",
"country_code": "US",
"postal_code": "606575123",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2026; 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.