NPIMap

Individual provider Active NPI

Payal Kirtikant Shah, M.D.

  • Infectious Disease Physician
  • Chicago, IL
National Provider Identifier
1760791198
Registry record updated Nov 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
A124454 Issued in CA
Practice address
2800 N Lake Shore Dr
St Jospeh Hospital
Chicago, IL 60657-6232
Phone
(773) 665-5041
NPI assigned
Oct 4, 2010
Last updated
Nov 29, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 29, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 125057424 IL
Infectious Disease Physician 207RI0200X A124454 CA Primary

Addresses

Primary practice location

2800 N Lake Shore Dr
St Jospeh Hospital
Chicago, IL 60657-6232

Mailing address

425 W Surf St
Unit 114
Chicago, IL 60657-6450
Phone (302) 682-5467

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131127001398 CA Practitioner - Infectious DiseasePractitioner - Internal Medicine 0840426656 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Alameda Health SystemGroup PAC ID 3779494521, 597 clinicians

Practice addresses (Care Compare)

13851 E 14TH St
Suite 308
San Leandro, CA 94578-2630
Phone (925) 463-1318

2070 Clinton Ave
Alameda, CA 94501-4399
Phone (510) 522-3700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.17 of 100Reported as group
Quality
86.93
Promoting interoperability
100
Improvement activities
40
Cost
72.6

Merit-based Incentive Payment System (MIPS)

Final score
90.7 of 100Reported as group
Quality
72.06
Improvement activities
40
Cost
72.92

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125057424ILMDInternal Medicine Physician
A124454CAMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alameda Health System CurrentSince Oct 31, 2021 Accepting new patients
Alameda Health System CurrentSince Oct 31, 2021 Accepting new patients
Diablo Infectious Disease Consultative Service Med GRP Inc Infectious Disease CurrentSince Dec 13, 2016 Accepting new patients

Locations

2070 Clinton Ave
Alameda, CA 94501
Phone (510) 522-3700

1141 Catalina Dr
#194
Livermore, CA 94550

1411 E 31st St
Oakland, CA 94602
Phone (510) 437-4323

13851 E 14th St
Ste 308
San Leandro, CA 94578
Phone (510) 351-1193

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: pshah291390@hisp.ehr.sutterhealth.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1286150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543449600000",
    "number": "1760791198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 W SURF ST",
            "address_2": "UNIT 114",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606576450",
            "telephone_number": "302-682-5467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 N LAKE SHORE DR",
            "address_2": "ST JOSPEH HOSPITAL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606576232",
            "telephone_number": "773-665-5041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "PAYAL",
        "middle_name": "KIRTIKANT",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-04",
        "last_updated": "2018-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "125057424",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "CA",
            "license": "A124454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.