DR. VIPINCHANDRA K SHAH
NPI 1265454995
General Practice in Edwardsville, IL
About Dr. Vipinchandra K Shah NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. VIPINCHANDRA K SHAH (NPI 1265454995) is an individual general practice provider in Edwardsville, Illinois, licensed in Illinois (036053494) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Vipinchandra K Shah is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Vipinchandra Shah reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Alton, IL 62002
- Reassigned Medicare billing, Illinois enrollment
- 46 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.
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 Vipinchandra Shah's NPI number?
The NPI number for Vipinchandra Shah is 1265454995. It was assigned to this individual provider in the NPPES registry on July 24, 2006.
Where is Vipinchandra Shah located?
Vipinchandra Shah practices at 26 Camelot Dr, Edwardsville, IL 62025. The listed phone number is (618) 692-4373.
What is Vipinchandra Shah's specialty?
The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.
Is Vipinchandra Shah enrolled in Medicare?
Yes. Vipinchandra Shah is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Vipinchandra Shah's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Vipinchandra Shah reassigns Medicare benefits to Illinois Department Of Human Services (Alton, IL). 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 Vipinchandra 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 Vipinchandra Shah was last updated on June 26, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Dr. Vipinchandra K Shah · NPI 1265454995
General Practice physician in Edwardsville, Illinois. Individual provider, active in the CMS NPPES registry since July 24, 2006.
## Identity
- **NPI:** 1265454995 (Entity type: Individual)
- **Enumerated:** July 24, 2006
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **State license:** 036053494 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 26 CAMELOT DR, Edwardsville, IL 62025-3701
- **Phone:** (618) 692-4373
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Illinois Department Of Human Services (NPI 1083620827, Alton, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 26, 2012
- **Other identifiers:** Medicare UPIN C51925 (IL)
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Source: [NPI Profile](https://npiprofile.com/npi/1265454995) · Data from the CMS NPPES public registry.