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MRS. MALATHI SHAH M.D.
NPI 1073643193
Internal Medicine - Nephrology in Chicago, IL

Active since March 07, 2007PECOS EnrolledAccepts Medicare Assignment
1625 E 75TH ST STE 328, CHICAGO, IL 60649(773) 947-7841(773) 493-1430 Get Directions Write a Review

NPPES record last updated: February 2, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 2, 2023, Dec 15, 2021, Nov 6, 2020 (3 updates tracked since 2020).

About Mrs. Malathi Shah M.d. NPPES

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

MRS. MALATHI SHAH M.D. (NPI 1073643193) is an individual nephrology provider in Chicago, Illinois, licensed in Illinois (036108396) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS, is affiliated with Advocate Trinity Hospital, and maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1073643193
Entity TypeIndividualFemale
Primary Taxonomy207RN0300X
Provider Legal NameMRS. MALATHI SHAHCredential: M.D.
Location Address1625 E 75TH ST STE 328Chicago, IL 60649-3603
Mailing Address120 W 22nd St Ste 200Oak Brook, IL 60523-1563 · (630) 573-5000
Phone(773) 947-7841
Fax(773) 493-1430
Sole ProprietorNo
Medical School CMSUniversity Of Texas Southwestern Medical School At DallasGraduated 1996
Enumeration DateMarch 7, 2007
Last NPPES UpdateFebruary 2, 20233 updates tracked since enumeration
NPPES CertifiedFebruary 2, 2023
✔ NPI 1073643193 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in IL · 036108396
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
1625 E 75TH ST STE 328, Chicago, IL 60649
Open in Google Maps ↗

Other Names 1

Former Name (1)Mrs. Malathi Venkatappan M.d.

Secondary Practice Location 1

Location 17531 S Stony Island Ave, Suite 158 & 160Chicago, IL 60649-3954 · Phone (773) 947-2289 · Fax (773) 493-1430

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

Mrs. Malathi 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 ID2668526641
PECOS Enrollment IDI20090811000521
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 7

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.
318 services84 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
102 services15 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
79 services36 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.
68 services35 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
45 services43 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.
33 services33 patients

Hospital Affiliations CMS Care Compare 4

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

Advocate Trinity Hospital

Acute Care Hospitals · Chicago, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140048
Location2320 E 93rd StChicago, IL 60617 · Cook County
Emergency services Birthing friendly

Holy Cross Hospital

Acute Care Hospitals · Chicago, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140133
Location2701 W 68th StreetChicago, IL 60629 · Cook County
Emergency services

Jackson Park Hospital

Acute Care Hospitals · Chicago, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number140177
Location7531 S Stony Island AveChicago, IL 60649 · Cook County
Emergency services

South Shore Hospital

Acute Care Hospitals · Chicago, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number140181
Location8012 South Crandon AvenueChicago, IL 60617 · Cook County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60649 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
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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.

Other Providers at the Same Location NPPES

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

DR. VEDVATI M PATEL M.D.
Internal Medicine (Nephrology)
1625 E 75TH ST STE 328
CHICAGO, IL 60649
Cook County (773) 947-7841

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 Malathi Shah's NPI number?

The NPI number for Malathi Shah is 1073643193. It was assigned to this individual provider in the NPPES registry on March 7, 2007. The provider is also known as Mrs. Malathi Venkatappan M.D..

Where is Malathi Shah located?

Malathi Shah practices at 1625 E 75th St Ste 328, Chicago, IL 60649. The listed phone number is (773) 947-7841.

What is Malathi Shah's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Malathi Shah enrolled in Medicare?

Yes. Malathi 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 Malathi Shah accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Malathi 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 Malathi Shah affiliated with any hospitals?

According to CMS data, Malathi Shah is affiliated with Advocate Trinity Hospital, Holy Cross Hospital, Jackson Park Hospital and South Shore Hospital.

When was this NPI record last updated?

The NPPES record for Malathi Shah was last updated on February 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.