DR. DEEP N SHAH DPM, MBA
NPI 1164985883
Podiatrist - Foot & Ankle Surgery in Elmhurst, IL

Q: What is Deep Shah's NPI number?

The NPI number for Deep Shah is 1164985883. It was assigned to this individual provider in the NPPES registry on April 9, 2019.

Q: What is Deep Shah's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Q: When was this NPI record last updated?

The NPPES record for Deep Shah was last updated on June 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since April 09, 2019PECOS EnrolledAccepts Medicare Assignment

183 W 1ST ST, ELMHURST, IL 60126(630) 530-3338 Get Directions Write a Review

NPPES record last updated: June 18, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 18, 2024, Nov 21, 2023, Jul 9, 2019 and 1 more (4 updates tracked since 2019).

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About Dr. Deep N Shah Dpm, Mba NPPES

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

DR. DEEP N SHAH DPM, MBA (NPI 1164985883) is an individual foot & ankle surgery provider in Elmhurst, Illinois, licensed in Illinois (016.005976) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, is affiliated with Amita Health Resurrection Medical Center, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1164985883

Entity TypeIndividualMale

Primary Taxonomy213ES0103X

Provider Legal NameDR. DEEP N SHAHCredential: DPM, MBA

Location Address183 W 1ST STElmhurst, IL 60126-2815

Mailing Address1004 Tuscany DrStreamwood, IL 60107-4529 · (518) 330-7689

Phone(630) 530-3338

Sole ProprietorNo

Medical School CMSTemple University School Of Podiatric MedicineGraduated 2019

Enumeration DateApril 9, 2019

Last NPPES UpdateJune 18, 20244 updates tracked since enumeration

NPPES CertifiedJune 18, 2024

✔ NPI 1164985883 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers

Taxonomy Code213ES0103X

License✔ Licensed in IL · 016.005976

Also ListedPodiatrist · Primary Podiatric MedicineTaxonomy 213EP1101X · License 016.005976 (IL)

Also ListedPodiatrist · RadiologyTaxonomy 213ER0200X · License 016.005976 (IL)

Also ListedPodiatrist · Sports MedicineTaxonomy 213ES0000X · License 016.005976 (IL)

Also ListedPodiatrist · Foot SurgeryTaxonomy 213ES0131X · License 016.005976 (IL)

183 W 1ST ST, Elmhurst, IL 60126

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Secondary Practice Locations 3

Location 13333 Green Bay RdNorth Chicago, IL 60064-3037 · Phone (847) 473-4357

Location 23445 N Central Ave # CChicago, IL 60634-4420 · Phone (773) 205-0800

Location 31 Medical Center BlvdChester, PA 19013-3902 · Phone (610) 447-2000

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

Dr. Deep N Shah Dpm, Mba 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 ID5395128417

PECOS Enrollment IDI20220822002880

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.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

69 services69 patients

Removal of fingernails or toenails, 6 or more nails 11721

This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.

67 services62 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

55 services55 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.

30 services29 patients

Removal of noncancer thickened skin growth, 2-4 growths 11056

This procedure involves the safe removal of 2-4 noncancerous thickened skin growths. It's typically done under local anesthesia. The process helps to alleviate discomfort and prevent potential complications. It's a standard, low-risk procedure.

14 services14 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.

11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Amita Health Resurrection Medical Center

Acute Care Hospitals · Chicago, IL

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140117

Location7435 W Talcott AvenueChicago, IL 60631 · 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

Community First Medical Center

Acute Care Hospitals · Chicago, IL

1/5 CMS rating

OwnershipProprietary

CMS Certification Number140251

Location5645 W Addison StreetChicago, IL 60634 · Cook County

Emergency services

Other Providers at the Same Location NPPES 5

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

WILLIAM FOREST BUSHNELL III D.P.M.

Podiatrist