Individual provider Active NPI

Devendra U Shah, M.D

  • Internal Medicine Physician
  • Elgin, IL
National Provider Identifier
1700952140
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
207R00000X Issued in IL
Practice address
484 Summit St
Elgin, IL 60120-3829
Phone
(847) 742-5530
Fax
(847) 695-6543
NPI assigned
Nov 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 207R00000X IL Primary

Addresses

Primary practice location

484 Summit St
Elgin, IL 60120-3829

Mailing address

484 Summit St
Elgin, IL 60120-3829
Phone (847) 742-5530

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100618000556 IL Practitioner - Internal MedicinePractitioner - Family PracticePractitioner - Nephrology 9739219643 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Family Practice, Nephrology
Education
Other, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3845 Whispering Trails Dr
Hoffman Estates, IL 60192-1562
Phone (847) 358-8578

Hospital & facility affiliations

  • Northwest Home Health & Rehab Home health agency, Lake in the Hills, IL, CCN 147824
  • Kindred Hospice Hospice, Arlington Heights, IL, CCN 141608

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
207R00000XILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
D U Shah MD SC Internal Medicine CurrentSince Jan 1, 2019 Accepting new patients

Locations

484 Summit St
Elgin, IL 60120
Phone (847) 742-5530

Interoperability endpoints

  • Direct secure messaging: devendra.shah.1@19565.direct.athenahealth.com

Organizations & group practices 2

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.

Hospital & facility affiliations 2

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": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1700952140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "484 SUMMIT ST",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601203829",
            "telephone_number": "847-742-5530",
            "fax_number": "847-695-6543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "484 SUMMIT ST",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601203829",
            "telephone_number": "847-742-5530",
            "fax_number": "847-695-6543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "DEVENDRA",
        "middle_name": "U",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "207R00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elgin, IL

Sources for this page

Verify at the official NPI Registry.