Active NPI
Rachna Shah MD SC
- Allergy & Immunology Physician
- Melrose Park, IL
National Provider Identifier
1942578703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- 36-122188
- Legal business name
- RACHNA SHAH MD SC
- Practice address
- 675 West North Ave
#310
Melrose Park, IL 60160 - Phone
- (708) 450-5054
- NPI assigned
- Dec 8, 2011
- Last updated
- Jan 20, 2012
- Organization subpart
- Yes
- Parent organization
- RACHNA SHAH MD SC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Rachna Shah, M.D.
- Title
- President
- Phone
- (216) 288-1154
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | 36-122188 | IL | Primary |
| Internal Medicine Physician | 207R00000X | 36-122188 | IL |
Addresses
Primary practice location
675 West North Ave
#310
Melrose Park, IL 60160
Mailing address
675 West North Ave
#310
Melrose Park, IL 60160
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider Directory- Part of
- Rachna Shah MD SC
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Allergy & Immunology Physician
- Melrose Park, IL
- NPI 1053592451
-
- Allergy & Immunology Physician
- Melrose Park, IL
- NPI 1962798801
-
- Allergy Physician
- Melrose Park, IL
- NPI 1750396156
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323302400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1327017600000",
"number": "1942578703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "675 WEST NORTH AVE",
"address_2": "#310",
"city": "MELROSE PARK",
"state": "IL",
"postal_code": "60160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "675 WEST NORTH AVE",
"address_2": "#310",
"city": "MELROSE PARK",
"state": "IL",
"postal_code": "60160",
"telephone_number": "708-450-5054"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RACHNA SHAH MD SC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "RACHNA SHAH MD SC",
"enumeration_date": "2011-12-08",
"last_updated": "2012-01-20",
"status": "A",
"authorized_official_last_name": "SHAH",
"authorized_official_first_name": "RACHNA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "216-288-1154",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "IL",
"license": "36-122188",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "36-122188",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Melrose Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.