NPIMap

Individual provider Active NPI

Shirish N Shah, MD

  • Cardiovascular Disease Physician
  • Chicago, IL
National Provider Identifier
1972542611
Registry record updated Dec 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
036052035 Issued in IL
Practice address
5600 W Addison St
Ste 400
Chicago, IL 60634-4401
Phone
(773) 283-2448
Fax
(773) 283-0205
NPI assigned
Jun 6, 2006
Last updated
Dec 4, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 036052035 IL Primary

Addresses

Primary practice location

5600 W Addison St
Ste 400
Chicago, IL 60634-4401

Mailing address

1146 Park
River Forest, IL 60305
Phone (773) 283-2448

Other identifiers 1

IdentifierTypeStateIssuer
036052035MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070205000607 IL Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 9234110081 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dev Medical Associates SCGroup PAC ID 2466442629, 2 clinicians

Practice addresses (Care Compare)

5600 W Addison St
Suite 400
Chicago, IL 60634-4400
Phone (773) 283-2448

5645 W Addison St
Chicago, IL 60634-4403
Phone (773) 282-7000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
17.59 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
58.63

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dev Medical Associates SC Cardiovascular Disease CurrentSince Aug 21, 1981 Accepting new patients
Chicago Cardiology Institute S.C. Cardiovascular Disease CurrentSince May 1, 2025 Accepting new patients
Chicago Vascular Clinic LTD Cardiovascular Disease PastSince Oct 1, 2013 Accepting new patients
Mohammad Waseem Kagzi MD LTD Cardiovascular Disease PastSince May 1, 2025 Accepting new patients

Locations

5600 W Addison St
Ste 400
Chicago, IL 60634
Phone (773) 283-2448

5645 W Addison St
Chicago, IL 60634
Phone (773) 282-7000

7447 W Talcott Ave
Ste 525
Chicago, IL 60631
Phone (773) 763-1146

802 E Woodfield Rd
Ste 200
Schaumburg, IL 60173
Phone (847) 240-9500

804 E Woodfield Rd
Schaumburg, IL 60173
Phone (847) 605-0030

804 E Woodfield Rd
Ste 300
Schaumburg, IL 60173
Phone (847) 605-0030

812 E Woodfield Rd
Schaumburg, IL 60173
Phone (847) 605-0030

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417651200000",
    "number": "1972542611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1146 PARK",
            "city": "RIVER FOREST",
            "state": "IL",
            "postal_code": "60305",
            "telephone_number": "773-283-2448",
            "fax_number": "773-283-0205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5600 W ADDISON ST",
            "address_2": "STE 400",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606344401",
            "telephone_number": "773-283-2448",
            "fax_number": "773-283-0205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "SHIRISH",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2014-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036052035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036052035",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.