Individual provider Active NPI

Ruchi Shah, M.D.

  • Emergency Medicine Physician
  • Cleveland, OH
National Provider Identifier
1821224403
Registry record updated May 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
036143885 Issued in IL
Practice address
11100 Euclid Ave
University Hospitals Case Medical Center
Cleveland, OH 44106
Phone
(216) 844-3610
NPI assigned
Jun 9, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 125-56424 IL
Emergency Medicine Physician 207P00000X 036143885 IL Primary

Addresses

Primary practice location

11100 Euclid Ave
University Hospitals Case Medical Center
Cleveland, OH 44106

Mailing address

11100 Euclid Ave
University Hospitals Case Medical Center
Cleveland, OH 44106
Phone (216) 844-3610

Other practice location 1

21481 N Rand Rd
Kildeer, IL 60047-3061
Phone (847) 618-9655

Other identifiers 1

IdentifierTypeStateIssuer
036143885OtherILSTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, IL2 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
I20150917002211 OH Practitioner - Emergency Medicine 3870800204 Reassigns benefits to 1 organization
I20170825000241 IL Practitioner - Emergency Medicine 3870800204 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cepamerica Illinois LLPGroup PAC ID 3274793633, 492 clinicians

Practice addresses (Care Compare)

77 N Airlite St
Elgin, IL 60123-4912
Phone (847) 695-3200

Hospital & facility affiliations

  • Northwest Community Hospital 1 Hospital, Arlington Heights, IL, CCN 140252
  • Saint Joseph Hospital-Elgin Hospital, Elgin, IL, CCN 140217

Merit-based Incentive Payment System (MIPS)

Final score
93.41 of 100Reported as group
Quality
86.81
Improvement activities
40
Cost
77.34

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125-56424ILMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cepamerica Illinois LLP Emergency Medicine CurrentSince Sep 1, 2017 Accepting new patients
Northwest Community Health Services Inc Pediatrics CurrentSince Apr 1, 2023 Accepting new patients
Cepamerica Illinois LLP Emergency Medicine CurrentSince Sep 1, 2017 Accepting new patients
Northwest Community Health Services Inc CurrentSince Apr 1, 2023 Accepting new patients
Knox Emergency Services, LLC Emergency Medicine CurrentSince Jul 18, 2015 Accepting new patients
Cepamerica Illinois LLP Emergency Medicine Current Accepting new patients

Locations

2100 Powell St
Ste 900
Emeryville, CA 94608
Phone (510) 350-2777

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

1051 W Rand Rd
Arlington Hts, IL 60004
Phone (847) 221-4601

3249 Oak Park Ave
Berwyn, IL 60402
Phone (708) 783-2696

1450 Busch Pkwy
Buffalo Grove, IL 60089
Phone (847) 459-7860

25233 Network Pl
Chicago, IL 60673

77 N Airlite St
Elgin, IL 60123
Phone (847) 622-3407

1425 N Randall Rd
Elgin, IL 60123
Phone (224) 783-5437

21481 N Rand Rd
Kildeer, IL 60047
Phone (847) 618-9696

1330 Coshocton Ave
Mount Vernon, OH 43050
Phone (740) 393-9019

Organizations & group practices 6

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 3

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": "1244505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684972800000",
    "number": "1821224403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11100 EUCLID AVE",
            "address_2": "UNIVERSITY HOSPITALS CASE MEDICAL CENTER",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "44106",
            "telephone_number": "216-844-3610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11100 EUCLID AVE",
            "address_2": "UNIVERSITY HOSPITALS CASE MEDICAL CENTER",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "44106",
            "telephone_number": "216-844-3610"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21481 N Rand Rd",
            "address_purpose": "LOCATION",
            "city": "Kildeer",
            "state": "IL",
            "postal_code": "600473061",
            "country_code": "US",
            "telephone_number": "847-618-9655",
            "fax_number": "847-847-6189",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH",
        "first_name": "RUCHI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-09",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "125-56424",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036143885",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "036143885",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.