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DR. NIRMALA A. SHAH M.D.
NPI 1215930128
Internal Medicine in Chicago, IL

Active since May 24, 2005PECOS EnrolledAccepts Medicare Assignment
6352 N LINCOLN AVE, CHICAGO, IL 60659(773) 539-5100(773) 539-7508 Get Directions Write a Review

NPPES record last updated: October 29, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Nirmala A. Shah M.d. NPPES

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

DR. NIRMALA A. SHAH M.D. (NPI 1215930128) is an individual internal medicine provider in Chicago, Illinois, licensed in Illinois (036058416) and active in the NPI registry since May 2005. She is enrolled in Medicare PECOS, is affiliated with Presence Saint Francis Hospital, and is a graduate of Other (1968).

NPPES Registry Identity

NPI1215930128
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. NIRMALA A. SHAHCredential: M.D.
Location Address6352 N LINCOLN AVEChicago, IL 60659-1213
Mailing Address5508 Main StMorton Grove, IL 60053-3453
Phone(773) 539-5100
Fax(773) 539-7508
Sole ProprietorYes
Medical School CMSOtherGraduated 1968
Enumeration DateMay 24, 2005
Last NPPES UpdateOctober 29, 2024
NPPES CertifiedOctober 29, 2024
✔ NPI 1215930128 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in IL · 036058416
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
6352 N LINCOLN AVE, Chicago, IL 60659
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Other Names 1

Former Name (1)Dr. Nirmala A. Jain M.d.

Other Identifiers 1

Medicaid036058416IL

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. Nirmala A. 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.

PECOS PAC ID840349080
PECOS Enrollment IDI20090519000412
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 9

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
63 services16 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.
49 services17 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.
31 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.
27 services16 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
22 services17 patients
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.
18 services17 patients

Hospital Affiliations CMS Care Compare 2

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

Presence Saint Francis Hospital

Acute Care Hospitals · Evanston, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140080
Location355 Ridge AveEvanston, IL 60202 · Cook County
Emergency services

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60659 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
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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.

Other Providers at the Same Location NPPES 4

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

SABEENA GUL FNP
Nurse Practitioner
6352 N LINCOLN AVE
CHICAGO, IL 60659
Cook County (872) 208-3095
IGOCARE, INC
In Home Supportive Care
6352 N LINCOLN AVE, 2ND FLOOR
CHICAGO, IL 60659
Cook County (773) 775-4677
DR. AJITH R CASTELINO M.D.
Physical Medicine & Rehabilitation
6352 N LINCOLN AVE
CHICAGO, IL 60659
Cook County (872) 208-3095
NOEL CASTELINO SC
Rehabilitation Practitioner
6352 N LINCOLN AVE
CHICAGO, IL 60659
Cook County (872) 208-3095

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 Nirmala Shah's NPI number?

The NPI number for Nirmala Shah is 1215930128. It was assigned to this individual provider in the NPPES registry on May 24, 2005. The provider is also known as Dr. Nirmala A. Jain M.D..

Where is Nirmala Shah located?

Nirmala Shah practices at 6352 N Lincoln Ave, Chicago, IL 60659. The listed phone number is (773) 539-5100.

What is Nirmala Shah's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Nirmala Shah enrolled in Medicare?

Yes. Nirmala 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.

Is Nirmala Shah affiliated with any hospitals?

According to CMS data, Nirmala Shah is affiliated with Presence Saint Francis Hospital and Swedish Hospital.

When was this NPI record last updated?

The NPPES record for Nirmala Shah was last updated on October 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.