Individual provider Active NPI

Metali Shah

  • Family Nurse Practitioner
  • South Elgin, IL
National Provider Identifier
1689240236
Registry record updated Dec 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209022306 Issued in IL
Practice address
255 N McLean Blvd
South Elgin, IL 60177-1800
Phone
(866) 389-2727
NPI assigned
Jun 2, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209022306 IL Primary

Addresses

Primary practice location

255 N McLean Blvd
South Elgin, IL 60177-1800

Mailing address

9139 Broadway Ave
Brookfield, IL 60513-1303

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220110001898 IL Practitioner - Nurse Practitioner 1557753217 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minuteclinic Video Virtual Care North, LLCGroup PAC ID 1254762297, 15 clinicians

Practice addresses (Care Compare)

11200 Lincoln Hwy
Mokena, IL 60448-8208
Phone (866) 389-2727

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
209022306ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Allergy & Asthma Medical Associates LTD CurrentSince Jul 1, 2025 Accepting new patients
Minuteclinic Primary Care Illinois PLLC Family CurrentSince Apr 15, 2025 Accepting new patients
Elgin Gastroenterology SC PastSince Jul 1, 2025 Accepting new patients

Locations

9139 Broadway Ave
Brookfield, IL 60513
Phone (708) 387-9982

389 S Schmale Rd
Carol Stream, IL 60188
Phone (630) 206-1691

3637 N Southport Ave
Chicago, IL 60613
Phone (773) 347-5282

11200 Lincoln Hwy
Mokena, IL 60448
Phone 8154642171 ext. 8221

936 Willow Rd
Northbrook, IL 60062
Phone (847) 239-8447

2045 Plum Grove Rd
Rolling Meadows, IL 60008
Phone (847) 303-2450

1855 W Irving Park Rd
Schaumburg, IL 60193
Phone (630) 893-5570

255 N McLean Blvd
South Elgin, IL 60177
Phone (847) 695-7193

2210 Dean St
Ste M
St Charles, IL 60175
Phone (630) 513-1691

1 Cvs Dr
#2295
Woonsocket, RI 02895
Phone (401) 770-8043

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989

Organizations & group practices 5

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": "1622592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764547200000",
    "number": "1689240236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9139 BROADWAY AVE",
            "city": "BROOKFIELD",
            "state": "IL",
            "postal_code": "605131303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 N MCLEAN BLVD",
            "city": "SOUTH ELGIN",
            "state": "IL",
            "postal_code": "601771800",
            "telephone_number": "866-389-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "METALI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-02",
        "last_updated": "2025-12-01",
        "certification_date": "2025-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209022306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Elgin, IL

Sources for this page

Verify at the official NPI Registry.