DR. SANKET C SHAH M.D.
NPI 1154610681
Radiology - Diagnostic Radiology in Chicago, IL
About Dr. Sanket C Shah M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SANKET C SHAH M.D. (NPI 1154610681) is an individual diagnostic radiology provider in Chicago, Illinois, licensed in Illinois (036.140583) and active in the NPI registry since April 2011. He is enrolled in Medicare PECOS, is affiliated with Northwestern Medicine Central Dupage Hospital, and maintains a secondary practice location in Winfield.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Sanket C 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.
Medicare Billing Reassignments
13Medicare enrollment records show Sanket Shah reassigns Medicare billing to 13 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Geneva, IL 60134
- Reassigned Medicare billing, Illinois enrollment
- 42 clinicians in this Medicare group
Jay, OK 74346
- Reassigned Medicare billing, Texas enrollment
- 1,047 clinicians in this Medicare group
Muskogee, OK 74401
- Reassigned Medicare billing, Texas enrollment
- 655 clinicians in this Medicare group
Tulsa, OK 74127
- Reassigned Medicare billing, Illinois enrollment
- 4 clinicians in this Medicare group
Poteau, OK 74953
- Reassigned Medicare billing, Texas enrollment
- 581 clinicians in this Medicare group
Pawnee, OK 74058
- Reassigned Medicare billing, Texas enrollment
- 143 clinicians in this Medicare group
Wewoka, OK 74884
- Reassigned Medicare billing, Texas enrollment
- 129 clinicians in this Medicare group
El Reno, OK 73036
- Reassigned Medicare billing, Texas enrollment
- 153 clinicians in this Medicare group
Watonga, OK 73772
- Reassigned Medicare billing, Texas enrollment
- 96 clinicians in this Medicare group
Martin, SD 57551
- Reassigned Medicare billing, Texas enrollment
- 426 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 65
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Northwestern Medicine Central Dupage Hospital
Acute Care Hospitals · Winfield, ILSaint Francis Hospital Muskogee
Acute Care Hospitals · Muskogee, OKSsm Health St Anthony Hospital - Midwest
Acute Care Hospitals · Midwest City, OKCherokee Nation W W Hastings Indian Hospital
Acute Care Hospitals · Tahlequah, OKChoctaw Nation Health Services Authority
Acute Care Hospitals · Talihina, OKPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 60657 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
CHICAGO, IL 60657
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 Sanket Shah's NPI number?
The NPI number for Sanket Shah is 1154610681. It was assigned to this individual provider in the NPPES registry on April 5, 2011.
Where is Sanket Shah located?
Sanket Shah practices at 836 W Wellington Ave, Chicago, IL 60657. The listed phone number is (773) 975-1600.
What is Sanket Shah's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is Sanket Shah enrolled in Medicare?
Yes. Sanket 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.
Which organizations bill Medicare for Sanket Shah's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sanket Shah reassigns Medicare benefits to 13 organizations: Radiology Subspecialists Of Northern Illinois, LLC (Geneva, IL), Cherokee Nation (Jay, OK), Creek Nation Hospital & Clinics (Muskogee, OK), Diagnostic Imaging Associates Inc (Tulsa, OK), Choctaw Nation Of Oklahoma (Poteau, OK) and 8 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sanket Shah's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Sanket Shah accept?
Health plans from Blue Cross and Blue Shield of Oklahoma and Wellmark of South Dakota, Inc. list Sanket 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 Sanket Shah affiliated with any hospitals?
According to CMS data, Sanket Shah is affiliated with Northwestern Medicine Central Dupage Hospital, Saint Francis Hospital Muskogee, Ssm Health St Anthony Hospital - Midwest, Cherokee Nation W W Hastings Indian Hospital and Choctaw Nation Health Services Authority.
When was this NPI record last updated?
The NPPES record for Sanket Shah was last updated on August 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.