SHAILY GAUDANI PA-C
NPI 1174277305
Physician Assistant in Wauconda, IL

Active since February 07, 2022PECOS EnrolledAccepts Medicare Assignment
431 W LIBERTY ST, WAUCONDA, IL 60084(847) 526-2151 Get Directions Write a Review

NPPES record last updated: September 21, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 25, 2023, Feb 7, 2022 (2 updates tracked since 2022).

About Shaily Gaudani Pa-c NPPES

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

SHAILY GAUDANI PA-C (NPI 1174277305) is an individual physician assistant in Wauconda, Illinois, licensed in Illinois (085009941) and active in the NPI registry since February 2022. She is enrolled in Medicare PECOS, is affiliated with Vista Medical Center East, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1174277305
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSHAILY GAUDANICredential: PA-C
Location Address431 W LIBERTY STWauconda, IL 60084-2452
Mailing AddressPo Box 6037Wauconda, IL 60084-6037 · (847) 526-2151 · Fax (847) 526-2017
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateFebruary 7, 2022
Last NPPES UpdateSeptember 21, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 21, 2023
NPI 1174277305 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in IL · 085009941
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
431 W LIBERTY ST, Wauconda, IL 60084

Accepted 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

Shaily Gaudani Pa-c 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 ID7416304076
PECOS Enrollment IDI20231103002377
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 5

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 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.
75 services68 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.
42 services40 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
38 services38 patients
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211
This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.
16 services16 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
15 services15 patients

Hospital Affiliations CMS Care Compare

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

Vista Medical Center East

Acute Care Hospitals · Waukegan, IL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number140084
Location1324 North Sheridan RoadWaukegan, IL 60085 · Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60084 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
$93.02 typical visit price
range $59.81 – $181.38
Typical copayment $23.25 (range $14.95 – $45.34)
Most-billed visit code 99203
Established Patient
$74.38 typical visit price
range $19.15 – $147.12
Typical copayment $18.59 (range $4.78 – $36.78)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Nurse Practitioner (Family)
431 W LIBERTY ST
WAUCONDA, IL 60084
Nurse Practitioner (Family)
431 W LIBERTY ST
WAUCONDA, IL 60084
Nurse Practitioner (Family)
431 W LIBERTY ST
WAUCONDA, IL 60084
Nurse Practitioner
431 W LIBERTY ST
WAUCONDA, IL 60084
Nurse Practitioner (Family)
431 W LIBERTY ST
WAUCONDA, IL 60084
Nurse Practitioner (Family)
431 W LIBERTY ST
WAUCONDA, IL 60084
Nurse Practitioner
431 W LIBERTY ST
WAUCONDA, IL 60084
Nurse Practitioner (Family)
431 W LIBERTY ST
WAUCONDA, IL 60084

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 Shaily Gaudani's NPI number?

The NPI number for Shaily Gaudani is 1174277305. It was assigned to this individual provider in the NPPES registry on February 7, 2022.

Where is Shaily Gaudani located?

Shaily Gaudani practices at 431 W Liberty St, Wauconda, IL 60084. The listed phone number is (847) 526-2151.

What is Shaily Gaudani's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Shaily Gaudani enrolled in Medicare?

Yes. Shaily Gaudani 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.

What insurance does Shaily Gaudani accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, MercyCare Health Plans and UnitedHealthcare list Shaily Gaudani 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 Shaily Gaudani affiliated with any hospitals?

According to CMS data, Shaily Gaudani is affiliated with Vista Medical Center East.

When was this NPI record last updated?

The NPPES record for Shaily Gaudani was last updated on September 21, 2023. 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.