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PRANJAL SHAH M.D
NPI 1063602829
Internal Medicine in Woodridge, IL

Active since July 27, 2007PECOS EnrolledAccepts Medicare Assignment
7530 WOODWARD AVE, WOODRIDGE, IL 60517(630) 910-1177 Get Directions Write a Review

NPPES record last updated: December 6, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pranjal Shah M.d NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PRANJAL SHAH M.D (NPI 1063602829) is an individual internal medicine provider in Woodridge, Illinois, licensed in Illinois (36118963) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS, is affiliated with Advocate Good Samaritan Hospital, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1063602829
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NamePRANJAL SHAHCredential: M.D
Location Address7530 WOODWARD AVEWoodridge, IL 60517-3100
Mailing Address7530 Woodward AveWoodridge, IL 60517-3100 · (630) 910-1177
Phone(630) 910-1177
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateJuly 27, 2007
Last NPPES UpdateDecember 6, 2021
NPPES CertifiedDecember 6, 2021
✔ NPI 1063602829 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in IL · 36118963
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
7530 WOODWARD AVE, Woodridge, IL 60517
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Pranjal Shah M.d is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1456402874
PECOS Enrollment IDI20090625000164
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
177 services60 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
94 services57 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
55 services46 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
36 services33 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
18 services16 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Advocate Good Samaritan Hospital

Acute Care Hospitals · Downers Grove, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140288
Location3815 Highland AvenueDowners Grove, IL 60515 · Du Page County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60517 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$137.43 typical visit price
range $59.81 – $181.38
Typical copayment $34.35 (range $14.95 – $45.34)
Most-billed visit code 99204
Established Patient
$105.07 typical visit price
range $19.15 – $147.12
Typical copayment $26.26 (range $4.78 – $36.78)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 7

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
11 suppliers32 claims138 services$6.25 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
8 suppliers18 claims33 services$0.86 avg. paid by Medicare
Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4036
Other-Enteral and Parenteral · category OB006N
1 supplier12 claims360 services$3.78 avg. paid by Medicare
Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4150
Other-Enteral and Parenteral · category OB006N
1 supplier12 claims6,228 services$0.32 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers19 claims19 services$58.68 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
2 suppliers19 claims19 services$16.03 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ROSALIND SIMON DOWNING M.D.
Pediatrics
7530 WOODWARD AVE
WOODRIDGE, IL 60517
Dupage County (630) 910-1177
UNITED RENAL SERVICES PLLC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
7530 WOODWARD AVE
WOODRIDGE, IL 60517
Dupage County (630) 378-8000
WEST REGIONAL MRI LTD PARTNERSHIP
Physiological Laboratory
7530 WOODWARD AVE
WOODRIDGE, IL 60517
Dupage County (630) 427-1500
RUSH UNIVERSITY COLLEGE OF NURSING
Clinic/Center (Health Service)
7530 WOODWARD AVE
WOODRIDGE, IL 60517
Dupage County (630) 682-7400
MRS. SUREKHA S. BHANGARE P.T.
Physical Therapist
7530 WOODWARD AVE, SUITE C
WOODRIDGE, IL 60517
Dupage County (630) 910-8480
MRS. FRANCES H KURTH-SPRIET P.T.
Physical Therapist
7530 WOODWARD AVE, SUITE C
WOODRIDGE, IL 60517
Dupage County (630) 910-8480
DR. VIKRAM H GANDHI MD
Orthopaedic Surgery
7530 WOODWARD AVE, SUITE B
WOODRIDGE, IL 60517
Dupage County (630) 910-5933
MRS. MARY M MUFTI P.T.
Physical Therapist
7530 WOODWARD AVE, SUITE C
WOODRIDGE, IL 60517
Dupage County (630) 910-8480

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pranjal Shah's NPI number?

The NPI number for Pranjal Shah is 1063602829. It was assigned to this individual provider in the NPPES registry on July 27, 2007.

Where is Pranjal Shah located?

Pranjal Shah practices at 7530 Woodward Ave, Woodridge, IL 60517. The listed phone number is (630) 910-1177.

What is Pranjal Shah's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Pranjal Shah enrolled in Medicare?

Yes. Pranjal Shah is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Pranjal Shah accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Pranjal Shah as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Pranjal Shah affiliated with any hospitals?

According to CMS data, Pranjal Shah is affiliated with Advocate Good Samaritan Hospital.

When was this NPI record last updated?

The NPPES record for Pranjal Shah was last updated on December 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.