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FARWAH YAWAR ALI SHAH MD
NPI 1255028452
Student in an Organized Health Care Education/Training Program in Chicago, IL

Active since April 19, 2023PECOS Enrolled
2525 S MICHIGAN AVE, CHICAGO, IL 60616(312) 567-2000(312) 638-8320 Get Directions Write a Review

NPPES record last updated: April 19, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Farwah Yawar Ali Shah Md NPPES

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

FARWAH YAWAR ALI SHAH MD (NPI 1255028452) is an individual student in an organized health care education/training program in Chicago, Illinois and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1255028452
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameFARWAH YAWAR ALI SHAHCredential: MD
Location Address2525 S MICHIGAN AVEChicago, IL 60616-2315
Mailing Address2856 Finca TerFremont, CA 94539-4474 · (650) 279-4424
Phone(312) 567-2000
Fax(312) 638-8320
Sole ProprietorYes
Medical School CMSOtherGraduated 2009
Enumeration DateApril 19, 2023
NPPES CertifiedApril 19, 2023
✔ NPI 1255028452 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2525 S MICHIGAN AVE, Chicago, IL 60616
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Other Names 1

Other Name (5)Farwah Rizwan Md

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Farwah Yawar Ali Shah Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID547729329
PECOS Enrollment IDI20260824001314
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 Reassignment

Medicare enrollment records show Farwah Shah reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc
1,796 mi
Internal Medicine
7373 WEST LANE
Stockton, CA 95210
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1548343510 (209) 476-2000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

HANIYA SAEED MD
Internal Medicine
2525 S MICHIGAN AVE
CHICAGO, IL 60616
Cook County (312) 567-2000
MR. ROBERT J GALLIGAN PSY.D.
Psychologist (Clinical)
2525 S MICHIGAN AVE, B-390
CHICAGO, IL 60616
Cook County (312) 567-6691
MR. ROUEEN RAFEYAN M.D.
Psychiatry & Neurology (Addiction Medicine)
2525 S MICHIGAN AVE, B-390
CHICAGO, IL 60616
Cook County (312) 567-6691
DARYL WAYNE MCKEE DO
Obstetrics & Gynecology
2525 S MICHIGAN AVE
CHICAGO, IL 60616
Cook County (312) 567-2000
MAURO HENRIQUE ANGHINONI BONISSONI
Student in an Organized Health Care Education/Training Program
2525 S MICHIGAN AVE
CHICAGO, IL 60616
Cook County (312) 567-2424
MAHMOOD MOHIUDDIN MOHAMMED M.B.B.S.
Student in an Organized Health Care Education/Training Program
2525 S MICHIGAN AVE
CHICAGO, IL 60616
Cook County (312) 567-2424
DR. YASIR M M FARAH MD
Internal Medicine (Critical Care Medicine)
2525 S MICHIGAN AVE
CHICAGO, IL 60616
Cook County (312) 567-2000
PRAIRE SHORES DENTAL
Dentist (General Practice)
2525 S MICHIGAN AVE, 8TH FL
CHICAGO, IL 60616
Cook County (312) 567-2299

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 Farwah Shah's NPI number?

The NPI number for Farwah Shah is 1255028452. It was assigned to this individual provider in the NPPES registry on April 19, 2023. The provider is also known as Farwah Rizwan MD.

Where is Farwah Shah located?

Farwah Shah practices at 2525 S Michigan Ave, Chicago, IL 60616. The listed phone number is (312) 567-2000.

What is Farwah Shah's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Farwah Shah enrolled in Medicare?

Yes. Farwah Shah is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Farwah Shah's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Farwah Shah reassigns Medicare benefits to Permanente Medical Group Inc (Stockton, CA). The 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 Farwah Shah's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Farwah Shah was last updated on April 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.