NIRAJ J SHAH M.D.
NPI 1134440969
Family Medicine in Belleville, IL

Active since June 16, 2010PECOS EnrolledAccepts Medicare Assignment
4700 MEMORIAL DR STE 210, BELLEVILLE, IL 62226(618) 767-7000 Get Directions Write a Review

NPPES record last updated: March 30, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 30, 2023, Aug 31, 2022, Feb 12, 2021 (3 updates tracked since 2021).

About Niraj J Shah M.d. NPPES

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

NIRAJ J SHAH M.D. (NPI 1134440969) is an individual family medicine provider in Belleville, Illinois, licensed in Illinois (036131200) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS, is affiliated with Memorial Hospital, and maintains a secondary practice location in Nashville.

NPPES Registry Identity

NPI1134440969
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameNIRAJ J SHAHCredential: M.D.
Location Address4700 MEMORIAL DR STE 210Belleville, IL 62226-5373
Mailing Address4700 Memorial Dr Ste 210Belleville, IL 62226-5373 · (618) 767-7000
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateJune 16, 2010
Last NPPES UpdateMarch 30, 20233 updates tracked since enumeration
NPPES CertifiedMarch 30, 2023
NPI 1134440969 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in IL · 036131200
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4700 MEMORIAL DR STE 210, Belleville, IL 62226

Secondary Practice Location 1

Location 11245 S Mill StNashville, IL 62263-2004 · Phone (618) 327-8119 · Fax (618) 327-8141

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

Niraj J 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 ID9830332741
PECOS Enrollment IDI20130826000017
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 9

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.

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.
346 services187 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
173 services173 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
119 services96 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
86 services52 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
35 services35 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
30 services30 patients

Hospital Affiliations CMS Care Compare 5

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

Memorial Hospital

Acute Care Hospitals · Belleville, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140185
Location4500 Memorial DriveBelleville, IL 62226 · St. Clair County
Emergency services Birthing friendly

Hshs St Elizabeth's Hospital

Acute Care Hospitals · O Fallon, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140187
LocationOne St Elizabeth BoulevardO Fallon, IL 62269 · St. Clair County
Emergency services Birthing friendly

Washington County Hospital

Critical Access Hospitals · Nashville, IL
OwnershipGovernment - Hospital District or Authority
CMS Certification Number141308
Location705 S Grand AveNashville, IL 62263 · Washington County
Emergency services

Barnes Jewish Hospital

Acute Care Hospitals · Saint Louis, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number260032
LocationOne Barnes-Jewish Hospital PlazaSaint Louis, MO 63110 · St. Louis City County
Emergency services Birthing friendly

Missouri Baptist Medical Center

Acute Care Hospitals · Town And Country, MO
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260108
Location3015 N Ballas RdTown And Country, MO 63131 · St. Louis County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62226 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
$88.44 typical visit price
range $56.28 – $173.35
Typical copayment $22.11 (range $14.07 – $43.33)
Most-billed visit code 99203
Established Patient
$99.71 typical visit price
range $17.51 – $139.99
Typical copayment $24.92 (range $4.37 – $34.99)
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

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
9 suppliers19 claims65 services$6.12 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 8

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

Physician Assistant
4700 MEMORIAL DR STE 210
BELLEVILLE, IL 62226
Physician Assistant
4700 MEMORIAL DR STE 210
BELLEVILLE, IL 62226
Nurse Practitioner
4700 MEMORIAL DR STE 210
BELLEVILLE, IL 62226
Family Medicine
4700 MEMORIAL DR STE 210
BELLEVILLE, IL 62226
Nurse Practitioner
4700 MEMORIAL DR STE 210
BELLEVILLE, IL 62226
Physician Assistant (Medical)
4700 MEMORIAL DR STE 210
BELLEVILLE, IL 62226
Physician Assistant
4700 MEMORIAL DR STE 210
BELLEVILLE, IL 62226
Physician Assistant
4700 MEMORIAL DR STE 210
BELLEVILLE, IL 62226

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 Niraj Shah's NPI number?

The NPI number for Niraj Shah is 1134440969. It was assigned to this individual provider in the NPPES registry on June 16, 2010.

Where is Niraj Shah located?

Niraj Shah practices at 4700 Memorial Dr Ste 210, Belleville, IL 62226. The listed phone number is (618) 767-7000.

What is Niraj Shah's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Niraj Shah enrolled in Medicare?

Yes. Niraj 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.

Is Niraj Shah affiliated with any hospitals?

According to CMS data, Niraj Shah is affiliated with Memorial Hospital, Hshs St Elizabeth's Hospital, Washington County Hospital, Barnes Jewish Hospital and Missouri Baptist Medical Center.

When was this NPI record last updated?

The NPPES record for Niraj Shah was last updated on March 30, 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.