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

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: November 01, 2026.

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

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
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

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

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. 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.

Medicare Billing Reassignments

3

Medicare enrollment records show Deep Shah reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Foot & Ankle Surgery
183 W 1ST ST
Elmhurst, IL 60126
  • Reassigned Medicare billing, Illinois enrollment
  • 5 clinicians in this Medicare group
Internal Medicine
3445 N CENTRAL AVE UNIT C
Chicago, IL 60634
  • Reassigned Medicare billing, Illinois enrollment
  • 29 clinicians in this Medicare group
Child Abuse Pediatrics
123 N OPLAINE RD
Gurnee, IL 60031
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Rosalind Franklin University Health
  • 28 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 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 2

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

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.

Podiatrist
183 W 1ST ST
ELMHURST, IL 60126
Podiatrist
183 W 1ST ST
ELMHURST, IL 60126
Podiatrist
183 W 1ST ST
ELMHURST, IL 60126
Podiatrist (Foot & Ankle Surgery)
183 W 1ST ST
ELMHURST, IL 60126
Podiatrist (Foot & Ankle Surgery)
183 W 1ST ST
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 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.

Where is Deep Shah located?

Deep Shah practices at 183 W 1st St, Elmhurst, IL 60126. The listed phone number is (630) 530-3338.

What is Deep Shah's specialty?

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

Is Deep Shah enrolled in Medicare?

Yes. Deep 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 Deep Shah's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Deep Shah reassigns Medicare benefits to 3 organizations: Elmhurst Foot & Ankle Center Inc (Elmhurst, IL), Metropolitan Healthcare Partners PLLC (Chicago, IL) and Rosalind Franklin University Health System (Gurnee, IL). 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 Deep Shah's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Deep Shah affiliated with any hospitals?

According to CMS data, Deep Shah is affiliated with Amita Health Resurrection Medical Center and Community First Medical Center.

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.