Individual provider Active NPI

Ashish Rajesh Shah, M.D.

  • Gastroenterology Physician
  • Bourbonnais, IL
National Provider Identifier
1780847384
Registry record updated Apr 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
036-136852 Issued in IL
Practice address
1615 N Convent St Ste 1
Bourbonnais, IL 60914-1081
Phone
(815) 937-5200
Fax
(815) 937-2063
NPI assigned
Jul 3, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 036-136852 IL Primary

Addresses

Primary practice location

1615 N Convent St Ste 1
Bourbonnais, IL 60914-1081

Mailing address

1615 N Convent St Ste 1
Bourbonnais, IL 60914-1081
Phone (815) 937-5200

Other practice location 1

161 Fort Washington Ave
New York, NY 10032-3729
Phone (212) 342-5155

Other practice location 2

2315 E 93rd St Ste 440
Chicago, IL 60617-3951
Phone (773) 768-6400

Other identifiers 1

IdentifierTypeStateIssuer
036136852MedicaidIL

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address DDC@directaddress.net Direct
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
Direct Messaging Address ashah319555@direct.myadvocateaurora.org Direct

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
I20150521002711 IL Practitioner - Gastroenterology 5698991164 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
University of Pittsburgh School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Digestive Diseases Consultants of Kankakee SCGroup PAC ID 3476543646, 14 clinicians

Practice addresses (Care Compare)

1615 N Convent St
Suite 1
Bourbonnais, IL 60914-1081
Phone (815) 937-5200

2315 E 93Rd St
Suite 440
Chicago, IL 60617-3951
Phone (773) 768-6400

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy120
Upper gastrointestinal (GI) endoscopy for acid reflux344

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-136852ILMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gi Partners of Illinois, PLLC Gastroenterology CurrentSince Oct 1, 2016 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Feb 14, 2025 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Feb 14, 2025 Accepting new patients
Digestive Diseases Consultants of Kankakee, SC Gastroenterology CurrentSince Aug 3, 2015 Accepting new patients
Siu Physicians & Surgeons, Inc Gastroenterology CurrentSince Sep 1, 2018 Accepting new patients
Advocate Health and Hospitals Corporation Current Accepting new patients
Siu Physicians & Surgeons, Inc CurrentSince Sep 1, 2018 Accepting new patients
Rush University Medical Group Past Accepting new patients
Gibson Community Hospital Association Past Accepting new patients

Locations

1615 N Convent St
Ste 1
Bourbonnais, IL 60914
Phone (815) 602-8253

214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160

2315 E 93rd St
Ste 440
Chicago, IL 60617
Phone (773) 768-2535

29373 Network Pl
Chicago, IL 60673

1880 W Winchester Rd
Ste 201
Libertyville, IL 60048
Phone (847) 247-0187

1890 Silver Cross Blvd
Ste 225
New Lenox, IL 60451
Phone (815) 937-5200

1900 Silver Cross Blvd
New Lenox, IL 60451
Phone (815) 300-7106

751 N Rutledge St
Springfield, IL 62702
Phone (217) 545-0182

315 W Carpenter St
Springfield, IL 62702
Phone (217) 545-5817

Interoperability endpoints

  • Direct secure messaging: ashah319555@direct.myadvocateaurora.org

Organizations & group practices 9

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 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": "1215043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744588800000",
    "number": "1780847384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 N CONVENT ST STE 1",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "609141081",
            "telephone_number": "815-937-5200",
            "fax_number": "815-937-2063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 N CONVENT ST STE 1",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "609141081",
            "telephone_number": "815-937-5200",
            "fax_number": "815-937-2063"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "161 Fort Washington Ave",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100323729",
            "country_code": "US",
            "telephone_number": "212-342-5155",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2315 E 93rd St Ste 440",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606173951",
            "country_code": "US",
            "telephone_number": "773-768-6400",
            "fax_number": "773-768-6373",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH",
        "first_name": "ASHISH",
        "middle_name": "RAJESH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-03",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IL",
            "license": "036-136852",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036136852",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "DDC@directaddress.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1615 N Convent St Ste 1",
            "city": "Bourbonnais",
            "state": "IL",
            "country_code": "US",
            "postal_code": "609141081",
            "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": "2315 E 93rd St Ste 440",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606173951",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ashah319555@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2315 E 93rd St Ste 440",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606173951",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bourbonnais, IL

Sources for this page

Verify at the official NPI Registry.