Individual provider Active NPI

Neal Shah, M.D.

  • Internal Medicine Physician
  • Vernon Hills, IL
National Provider Identifier
1801258561
Registry record updated Apr 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036163057 Issued in IL
Practice address
870 N Milwaukee Ave FL 2
Vernon Hills, IL 60061-1521
Phone
(847) 535-7157
Fax
(847) 535-8210
NPI assigned
Mar 22, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2023

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 01082068A IN
Internal Medicine Physician 207R00000X 036163057 IL Primary

Addresses

Primary practice location

870 N Milwaukee Ave FL 2
Vernon Hills, IL 60061-1521

Mailing address

870 N Milwaukee Ave FL 2
Vernon Hills, IL 60061-1521
Phone (847) 535-7157

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
I20230303001962 IL Practitioner - Internal Medicine 8224321336 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Indiana University School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northwestern Medical Faculty FoundationGroup PAC ID 4587576814, 4,386 clinicians

Practice addresses (Care Compare)

870 N Milwaukee Ave
FL 2
Vernon Hills, IL 60061-1521
Phone (847) 535-7647

Hospital & facility affiliations

  • Northwestern Lake Forest Hospital Hospital, Lake Forest, IL, CCN 140130
  • Northwestern Memorial Hospital Hospital, Chicago, IL, CCN 140281
  • Northwestern Medicine Central Dupage Hospital Hospital, Winfield, IL, CCN 140242

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036163057ILMDInternal Medicine Physician
01082068AINMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwestern Medical Faculty Foundation CurrentSince Mar 1, 2023 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Mar 1, 2023 Accepting new patients
Hancock Physician Network, LLC Internal Medicine CurrentSince Nov 1, 2020 Accepting new patients
Major Hospital Past Accepting new patients
Central Dupage Physician Group Internal Medicine Past Accepting new patients

Locations

Dept 5777
Carol Stream, IL 60122

Carol Stream, IL 60122
Phone (630) 933-3300

660 N Westmoreland Rd
#302
Lake Forest, IL 60045

515 Valley View Dr
Ste 201
Moline, IL 61265
Phone (312) 695-0870

870 N Milwaukee Ave
Vernon Hills, IL 60061
Phone (847) 475-2273

870 N Milwaukee Ave
Fl 2
Vernon Hills, IL 60061

801 N State St
Ste 2000
Greenfield, IN 46140
Phone (317) 325-2727

1 Memorial Sq
Ste 50
Greenfield, IN 46140
Phone (317) 468-6257

801 N State St
#3W
Greenfield, IN 46140
Phone (317) 477-6789

1 Memorial Sq
Ste 2200
Greenfield, IN 46140
Phone (317) 462-6662

Organizations & group practices 5

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 4

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": "1458604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682294400000",
    "number": "1801258561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "870 N MILWAUKEE AVE FL 2",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "600611521",
            "telephone_number": "847-535-7157",
            "fax_number": "847-535-8210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "870 N MILWAUKEE AVE FL 2",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "600611521",
            "telephone_number": "847-535-7157",
            "fax_number": "847-535-8210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "NEAL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-22",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01082068A",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036163057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vernon Hills, IL

Sources for this page

Verify at the official NPI Registry.