Individual provider Active NPI

Nirav A. Shah, MD

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Palos Heights, IL
National Provider Identifier
1770733354
Registry record updated Dec 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
036115430 Issued in IL
Practice address
7600 W College Dr
Palos Heights, IL 60463-1001
Phone
(708) 361-0600
Fax
(708) 923-2529
NPI assigned
Sep 19, 2008
Last updated
Dec 20, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X M9645 TX
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X M9645 TX
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 036115430 IL Primary

Addresses

Primary practice location

7600 W College Dr
Palos Heights, IL 60463-1001

Mailing address

7600 W College Dr
Palos Heights, IL 60463-1001
Phone (708) 361-0600

Other practice location 1

688 Cedar Crossings Dr
New Lenox, IL 60451-5200
Phone (815) 727-3030

Other practice location 2

4710 W 95th St
Oak Lawn, IL 60453-2453
Phone (708) 361-0600

Other practice location 3

10060 191st St
Mokena, IL 60448-8656
Phone (708) 361-0600

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address nshah276262@direct.myadvocateaurora.org Direct
FHIR URL https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20090831000211 IL Practitioner - Orthopedic SurgeryPractitioner - Sports Medicine 7315092186 Reassigns benefits to 1 organization
I20181106001011 IN Practitioner - Orthopedic SurgeryPractitioner - Sports Medicine 7315092186 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Sports Medicine
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Parkview Orthopaedic Group S CGroup PAC ID 9335134691, 31 clinicians

Practice addresses (Care Compare)

7600 W College Dr
Palos Heights, IL 60463-1001
Phone (708) 361-0880

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
72.88 of 100Reported as group
Quality
65.59
Promoting interoperability
71
Improvement activities
40
Cost
68.17

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)11
Upper limb (arm) arthroscopy (minimally invasive joint repair)91

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M9645TXMDOrthopaedic Surgery Physician

Interoperability endpoints

  • Direct secure messaging: nirav.shah.p1@direct.parkviewortho.nextgenshare.com
  • Direct secure messaging: nshah276262@direct.myadvocateaurora.org

Organizations & group practices 1

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 6

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": "1221782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639958400000",
    "number": "1770733354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7600 W COLLEGE DR",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631001",
            "telephone_number": "708-361-0600",
            "fax_number": "708-923-2529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 W COLLEGE DR",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631001",
            "telephone_number": "708-361-0600",
            "fax_number": "708-923-2529"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "688 Cedar Crossings Dr",
            "address_purpose": "LOCATION",
            "city": "New Lenox",
            "state": "IL",
            "postal_code": "604515200",
            "country_code": "US",
            "telephone_number": "815-727-3030",
            "fax_number": "815-463-8268",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4710 W 95th St",
            "address_purpose": "LOCATION",
            "city": "Oak Lawn",
            "state": "IL",
            "postal_code": "604532453",
            "country_code": "US",
            "telephone_number": "708-361-0600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10060 191st St",
            "address_purpose": "LOCATION",
            "city": "Mokena",
            "state": "IL",
            "postal_code": "604488656",
            "country_code": "US",
            "telephone_number": "708-361-0600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH",
        "first_name": "NIRAV",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-19",
        "last_updated": "2021-12-20",
        "certification_date": "2021-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "M9645",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "TX",
            "license": "M9645",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "IL",
            "license": "036115430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nshah276262@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "7600 W College Dr",
            "city": "Palos Heights",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604631001",
            "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": "7600 W College Dr",
            "city": "Palos Heights",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604631001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Palos Heights, IL

Sources for this page

Verify at the official NPI Registry.