SHAH A ALAM MD
NPI 1164450672
Hospitalist in Elmhurst, IL

Active since June 30, 2006PECOS EnrolledAccepts Medicare Assignment
91.35/100
CMS Quality Rating
155 E BRUSH HILL RD, ELMHURST, IL 60126(331) 221-8952(331) 221-3782 Get Directions Write a Review

NPPES record last updated: November 26, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 12, 2021, Jun 10, 2020, May 15, 2020 and 1 more (4 updates tracked since 2018).

About Shah A Alam Md NPPES

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

SHAH A ALAM MD (NPI 1164450672) is an individual hospitalist provider in Elmhurst, Illinois, licensed in Illinois (036114268) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Swedish Hospital, and is a graduate of Other (1996).

NPPES Registry Identity

NPI1164450672
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameSHAH A ALAMCredential: MD
Location Address155 E BRUSH HILL RDElmhurst, IL 60126
Mailing Address172 E Schiller StElmhurst, IL 60126-2885 · (331) 221-6377 · Fax (331) 221-2706
Fax(331) 221-3782
Sole ProprietorYes
Medical School CMSOtherGraduated 1996
Enumeration DateJune 30, 2006
Last NPPES UpdateNovember 26, 20244 updates tracked since enumeration
NPPES CertifiedNovember 26, 2024
NPI 1164450672 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in IL · 036114268
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 036114268 (IL)
155 E BRUSH HILL RD, Elmhurst, IL 60126

Other Identifiers 1

Medicaid036114268IL

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

Shah A Alam Md 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 ID3173542305
PECOS Enrollment IDI20051117000186
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 6

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.

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.
306 services287 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.
73 services71 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
69 services67 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.
34 services22 patients
Emergent insertion of breathing tube into windpipe using an endoscope 31500
This is a procedure where a thin tube is inserted into your windpipe to aid in breathing. It's done in emergency situations, using an endoscope, a tool with a light and camera, to ensure correct placement.
18 services18 patients
Insertion of non-tunneled central venous tube for infusion (5 years or older) 36556
This procedure involves placing a thin tube into a large vein, usually in the neck or chest, to administer medication or fluids. It's done under local anesthesia to minimize discomfort. It's a standard, safe procedure for individuals aged 5 and above.
17 services16 patients

Hospital Affiliations CMS Care Compare 2

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

Swedish Hospital

Acute Care Hospitals · Chicago, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140114
Location5145 N California AveChicago, IL 60625 · Cook County
Emergency services Birthing friendly

Elmhurst Memorial Hospital

Acute Care Hospitals · Elmhurst, IL
4/5 CMS rating
OwnershipProprietary
CMS Certification Number140200
Location155 East Brush Hill RoadElmhurst, IL 60126 · Du Page County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60126 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.

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.

91.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.71
Promoting Interoperability100
Improvement Activities40

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.

Emergency Medicine
155 E BRUSH HILL RD
ELMHURST, IL 60126
Radiology (Diagnostic Radiology)
155 E BRUSH HILL RD
ELMHURST, IL 60126
Hospitalist
155 E BRUSH HILL RD
ELMHURST, IL 60126
Emergency Medicine
155 E BRUSH HILL RD
ELMHURST, IL 60126
Emergency Medicine
155 E BRUSH HILL RD
ELMHURST, IL 60126
Hospitalist
155 E BRUSH HILL RD
ELMHURST, IL 60126
Pharmacist
155 E BRUSH HILL RD
ELMHURST, IL 60126
Emergency Medicine
155 E BRUSH HILL RD
ELMHURST, IL 60126

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 Shah Alam's NPI number?

The NPI number for Shah Alam is 1164450672. It was assigned to this individual provider in the NPPES registry on June 30, 2006.

Where is Shah Alam located?

Shah Alam practices at 155 E Brush Hill Rd, Elmhurst, IL 60126. The listed phone number is (331) 221-8952.

What is Shah Alam's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Shah Alam enrolled in Medicare?

Yes. Shah Alam 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 Shah Alam affiliated with any hospitals?

According to CMS data, Shah Alam is affiliated with Swedish Hospital and Elmhurst Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Shah Alam was last updated on November 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.