Mir Jafar Shah, MD

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

License

036-048869 Issued in IL

Practice address

Comprrehensive Cancer Center
3900 Burke Drive
Olympia Fields, IL 60461

Phone

(709) 747-4000

NPI assigned

May 30, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: mshah6013@direct.franciscanalliance.org

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.

• Michiana Cancer Treatment Center

  • Specialist
  • Michigan City, IN
  • NPI 1700920048
  NPD (past)
• Northwest Indiana Radiation Oncology, PC

  • Specialist
  • Crown Point, IN
  • NPI 1487684395
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758672000000",
    "number": "1720035009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 226",
            "city": "OLYMPIA FIELDS",
            "state": "IL",
            "postal_code": "604610226",
            "telephone_number": "708-709-2175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "COMPRREHENSIVE CANCER CENTER",
            "address_2": "3900 BURKE DRIVE",
            "city": "OLYMPIA FIELDS",
            "state": "IL",
            "postal_code": "60461",
            "telephone_number": "709-747-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "MIR",
        "middle_name": "JAFAR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-30",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "IL",
            "license": "036-048869",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036048869",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE INDIVIDUAL PTAN FOR SPECIALTY PHYSICIANS",
            "identifier": "F400308371",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael David Settecase, D.O.
• Lois Anita Severson, LCSW, MAC, SAP, CEAP
• Shanequia Seymore
• Chintan Shah, DO
• Jay Shah, DO
• Neil B Shah, D.O.
• Nicholas Mahesh Shah, M.D.
• Pooja Shah, M.D.
• Riddhi Shah, DO
• Mashad Ahmed Shaikh, MD

• Radiation Oncology Physician in Olympia Fields, IL
• Providers in Olympia Fields, IL by specialty
• Radiation Oncology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.

Verify at the official NPI Registry.