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DR. POOJA SHAH M.D.
NPI 1083077903
Psychiatry & Neurology - Psychiatry in Olympia Fields, IL

Active since March 29, 2016PECOS EnrolledAccepts Medicare Assignment
20201 CRAWFORD AVE, OLYMPIA FIELDS, IL 60461(219) 866-5141(708) 679-2161 Get Directions Write a Review

NPPES record last updated: February 14, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 14, 2025, Jan 8, 2025, Dec 16, 2024 and 3 more (6 updates tracked since 2016).

About Dr. Pooja Shah M.d. NPPES

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

DR. POOJA SHAH M.D. (NPI 1083077903) is an individual psychiatry provider in Olympia Fields, Illinois, licensed in Illinois (036172040) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS, is affiliated with Good Samaritan Regional Hlth Center, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1083077903
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameDR. POOJA SHAHCredential: M.D.
Location Address20201 CRAWFORD AVEOlympia Fields, IL 60461-1010
Mailing Address3401 Civic Center BlvdPhiladelphia, PA 19104-4319 · (215) 590-7131
Phone(219) 866-5141
Fax(708) 679-2161
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateMarch 29, 2016
Last NPPES UpdateFebruary 14, 20256 updates tracked since enumeration
NPPES CertifiedFebruary 14, 2025
✔ NPI 1083077903 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Licenses✔ Licensed in IL · 036172040✔ Licensed in WI · 4878✔ Licensed in PA · MD468674✔ Licensed in NJ · 25MA11569300
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedPsychiatry & Neurology · Child & Adolescent PsychiatryTaxonomy 2084P0804X · License MT217563 (PA)
20201 CRAWFORD AVE, Olympia Fields, IL 60461
Open in Google Maps ↗

Secondary Practice Locations 3

Location 1130 S Bryn Mawr AveBryn Mawr, PA 19010-3121 · Phone (888) 227-3898
Location 2515 22nd AveMonroe, WI 53566-1569 · Phone (608) 324-2000
Location 32160 S 1st AveMaywood, IL 60153-3328 · Phone (708) 216-9000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware and more.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

Dr. Pooja 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 ID8325386857
PECOS Enrollment IDI20241119001467, I20250102001068, I20250116002071
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

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.

Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
41 services41 patients

Hospital Affiliations CMS Care Compare 5

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

Good Samaritan Regional Hlth Center

Acute Care Hospitals · Mount Vernon, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140046
Location1 Good Samaritan WayMount Vernon, IL 62864 · Jefferson County
Emergency services Birthing friendly

Ssm St Joseph Health Center

Acute Care Hospitals · Saint Charles, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260005
Location300 1st Capitol DrSaint Charles, MO 63301 · St. Charles County
Emergency services

Ssm St Clare Health Center

Acute Care Hospitals · Fenton, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260081
Location1015 BowlesFenton, MO 63026 · Jefferson County
Emergency services Birthing friendly

Ssm Health St Mary's Hospital - St Louis

Acute Care Hospitals · Richmond Heights, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260091
Location6420 Clayton RdRichmond Heights, MO 63117 · St. Louis County
Emergency services Birthing friendly

Ssm Health Depaul Hospital St Louis

Acute Care Hospitals · Bridgeton, MO
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number260104
Location12303 Depaul DriveBridgeton, MO 63044 · St. Louis County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60461 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
$183.39 typical visit price
range $60.08 – $183.39
Typical copayment $45.84 (range $15.02 – $45.84)
Most-billed visit code 99205
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
Most-billed visit code 99213
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 20

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

MR. PRANEET SATYENDRA MYLAVARAPU MD
Hospitalist
20201 CRAWFORD AVE
OLYMPIA FIELDS, IL 60461
Cook County (708) 855-7297
CHINTAN SHAH DO
Hospitalist
20201 CRAWFORD AVE
OLYMPIA FIELDS, IL 60461
Cook County (708) 747-4000
MICHAEL JOSEPH MULLAN II PTA
Physical Therapy Assistant
20201 CRAWFORD AVE
OLYMPIA FIELDS, IL 60461
Cook County (708) 852-2540
MARIA STEPHANIE TICSA
Student in an Organized Health Care Education/Training Program
20201 CRAWFORD AVE
OLYMPIA FIELDS, IL 60461
Cook County (708) 747-4000
DR. TONI SCOTT-TERRY MD
Obstetrics & Gynecology
20201 CRAWFORD AVE
OLYMPIA FIELDS, IL 60461
Cook County (708) 679-2160
DR. JOSEPH JOHN ZANGHI D.O.
Urology
20201 CRAWFORD AVE, ATTN: POSTDOCTORAL EDUCATION
OLYMPIA FIELDS, IL 60461
Cook County (708) 747-4000
CONSULTANTS IN PATHOLOGY SC
Pathology (Anatomic Pathology & Clinical Pathology)
20201 CRAWFORD AVE
OLYMPIA FIELDS, IL 60461
Cook County (708) 747-4000
SAMUEL L MACAGBA JR. MD
Anesthesiology
20201 CRAWFORD AVE
OLYMPIA FIELDS, IL 60461
Cook County (708) 503-3857

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 Pooja Shah's NPI number?

The NPI number for Pooja Shah is 1083077903. It was assigned to this individual provider in the NPPES registry on March 29, 2016.

Where is Pooja Shah located?

Pooja Shah practices at 20201 Crawford Ave, Olympia Fields, IL 60461. The listed phone number is (219) 866-5141.

What is Pooja Shah's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Pooja Shah enrolled in Medicare?

Yes. Pooja 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 Pooja Shah accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan, Anthem Blue Cross and Blue Shield and Oscar Insurance Company and 1 other insurer list Pooja 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 Pooja Shah affiliated with any hospitals?

According to CMS data, Pooja Shah is affiliated with Good Samaritan Regional Hlth Center, Ssm St Joseph Health Center, Ssm St Clare Health Center, Ssm Health St Mary's Hospital - St Louis and Ssm Health Depaul Hospital St Louis.

When was this NPI record last updated?

The NPPES record for Pooja Shah was last updated on February 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.