Individual provider Active NPI

Vijay J Shah, M.D.

  • Interventional Cardiology Physician
  • Aurora, IL
National Provider Identifier
1891736492
Registry record updated Jul 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
036074019 Issued in IL
Practice address
1320 N Highland Ave
Suite a
Aurora, IL 60506-1403
Phone
(630) 896-0659
Fax
(630) 896-0581
NPI assigned
Jun 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 036074019 IL
Interventional Cardiology Physician 207RI0011X 036074019 IL Primary

Addresses

Primary practice location

1320 N Highland Ave
Suite a
Aurora, IL 60506-1403

Mailing address

1320 N Highland Ave Ste B
Aurora, IL 60506-1469
Phone (630) 892-4286

Other identifiers 2

IdentifierTypeStateIssuer
060069376OtherILRAILROAD MEDICARE
036074019MedicaidIL

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
I20040313000683 IL Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 1254220528 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Other, 1980
Medicare assignment
May accept Medicare assignment
Group practices
Copley Memorial Hospital IncGroup PAC ID 4587656921, 45 clinicians
Rush University Medical GroupGroup PAC ID 5496658874, 1,521 clinicians

Practice addresses (Care Compare)

1100 W Veterans Pkwy
Yorkville, IL 60560-4728

1320 N Highland Ave
Suite a
Aurora, IL 60506-1468
Phone (630) 978-6200

1700 W Van Buren St
Chicago, IL 60612-5500
Phone (312) 563-2875

2000 Ogden Ave
Aurora, IL 60504-7222
Phone (630) 499-4721

2088 Ogden Ave
Suite 160
Aurora, IL 60504-4383
Phone (630) 978-6200

Hospital & facility affiliations

  • Copley Memorial Hospital Hospital, Aurora, IL, CCN 140029
  • Valley West Community Hospital Hospital, Sandwich, IL, CCN 141340
  • Northwestern Medicine Delnor Community Hospital Hospital, Geneva, IL, CCN 140211
  • Rush University Medical Center Hospital, Chicago, IL, CCN 140119

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting19
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036074019ILMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Copley Memorial Hospital, Inc. Cardiovascular Disease CurrentSince Sep 1, 2020 Accepting new patients
Rush University Medical Group CurrentSince Aug 1, 2025 Accepting new patients
Rush University Medical Center CurrentSince Aug 1, 2025 Accepting new patients
Rush-Copley Medical Group, NFP Past Accepting new patients
University of Chicago Past Accepting new patients
Copley Memorial Hospital Inc. Past Accepting new patients

Locations

2088 Ogden Ave
Ste 160
Aurora, IL 60504
Phone (630) 723-3381

2000 Ogden Ave
Aurora, IL 60504
Phone (630) 466-8200

2088 Ogden Ave
Ste 150
Aurora, IL 60504
Phone (630) 978-4830

1320 N Highland Ave
Ste A
Aurora, IL 60506
Phone (630) 896-0659

1320 N Highland Ave
Ste B
Aurora, IL 60506
Phone (630) 892-4286

1700 W Van Buren St
#500
Chicago, IL 60612
Phone (312) 563-2875

75 Remittance Dr
Dept 1611
Chicago, IL 60675

1100 W Veterans Pkwy
Yorkville, IL 60560
Phone (630) 236-4307

1100 W Veterans Pkwy
Ste 320
Yorkville, IL 60560
Phone (630) 466-3489

Interoperability endpoints

  • Direct secure messaging: vshah84411@direct.rush.rush-health.com

Organizations & group practices 7

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 5

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": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595289600000",
    "number": "1891736492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 N HIGHLAND AVE STE B",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605061469",
            "telephone_number": "630-892-4286",
            "fax_number": "630-892-2104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 N HIGHLAND AVE",
            "address_2": "SUITE A",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605061403",
            "telephone_number": "630-896-0659",
            "fax_number": "630-896-0581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "VIJAY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2020-07-21",
        "certification_date": "2020-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036074019",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "IL",
            "license": "036074019",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "060069376",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036074019",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, IL

Sources for this page

Verify at the official NPI Registry.