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KINJAL U. SHAH M.D.
NPI 1295937464
Internal Medicine in Bolingbrook, IL

Active since June 01, 2007PECOS EnrolledAccepts Medicare Assignment
91.35/100
CMS Quality Rating
130 N WEBER RD, STE 100, BOLINGBROOK, IL 60440(630) 646-5777(630) 646-5729 Get Directions Write a Review

NPPES record last updated: June 17, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 17, 2024, Jan 1, 2021 (2 updates tracked since 2021).

About Kinjal U. Shah M.d. NPPES

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

KINJAL U. SHAH M.D. (NPI 1295937464) is an individual internal medicine provider in Bolingbrook, Illinois, licensed in Illinois (036125411) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS, is affiliated with Swedish Hospital, and is a graduate of Creighton University School Of Medicine (2007).

NPPES Registry Identity

NPI1295937464
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameKINJAL U. SHAHCredential: M.D.
Location Address130 N WEBER RD, STE 100Bolingbrook, IL 60440-1518
Mailing Address130 N Weber RdBolingbrook, IL 60440-1518 · (630) 646-5777 · Fax (630) 646-5729
Phone(630) 646-5777
Fax(630) 646-5729
Sole ProprietorNo
Medical School CMSCreighton University School Of MedicineGraduated 2007
Enumeration DateJune 1, 2007
Last NPPES UpdateJune 17, 20242 updates tracked since enumeration
NPPES CertifiedJune 17, 2024
✔ NPI 1295937464 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in IL · 036125411✔ Licensed in RI · MD13574
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.
130 N WEBER RD, Bolingbrook, IL 60440
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.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

Kinjal U. 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 ID2860686714
PECOS Enrollment IDI20101104000552
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 7

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.

Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
2,100 services23 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.
233 services146 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
118 services118 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
42 services26 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
26 services26 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
26 services26 patients

Hospital Affiliations CMS Care Compare 3

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

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

Elmhurst Memorial Hospital

Acute Care Hospitals · Elmhurst, IL
4/5 CMS rating
OwnershipProprietary
CMS Certification Number140200
Location155 East Brush Hill RoadElmhurst, IL 60126 · Du Page County
Emergency services Birthing friendly

Edward Hospital

Acute Care Hospitals · Naperville, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140231
Location801 South WashingtonNaperville, IL 60540 · Du Page County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60440 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
$137.43 typical visit price
range $59.81 – $181.38
Typical copayment $34.35 (range $14.95 – $45.34)
Most-billed visit code 99204
Established Patient
$105.07 typical visit price
range $19.15 – $147.12
Typical copayment $26.26 (range $4.78 – $36.78)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.71
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
14 suppliers44 claims109 services$6.00 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
7 suppliers17 claims22 services$1.13 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
2 suppliers12 claims12 services$8.71 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers12 claims12 services$205.43 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 14

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

RIDDHI PAKRASI M.D.
Internal Medicine
130 N WEBER RD, SUITE 100
BOLINGBROOK, IL 60440
Will County (630) 646-5777
ASHLEY MARIE LAMM LPC
Counselor (Professional)
130 N WEBER RD
BOLINGBROOK, IL 60440
Will County (630) 646-5777
DR. COLLEEN KELEHER M.D.
Family Medicine
130 N WEBER RD
BOLINGBROOK, IL 60440
Will County (630) 646-5770
EDWARD HOSPITAL
Family Medicine
130 N WEBER RD
BOLINGBROOK, IL 60440
Will County (630) 646-5770
LINDSEY ANN LYNCH PA-C
Physician Assistant
130 N WEBER RD, SUITE 100
BOLINGBROOK, IL 60440
Will County (630) 646-5777
DR. KATHLEEN KELLY M.D.
Preventive Medicine (Occupational Medicine)
130 N WEBER RD
BOLINGBROOK, IL 60440
Will County (630) 646-5770
JO ANN MURPHY
Internal Medicine
130 N WEBER RD, STE 100
BOLINGBROOK, IL 60440
Will County (630) 646-5777
GREGORY W GOSKA M.D.
Hospitalist
130 N WEBER RD, SUITE 100
BOLINGBROOK, IL 60440
Will County (630) 646-5777

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 Kinjal Shah's NPI number?

The NPI number for Kinjal Shah is 1295937464. It was assigned to this individual provider in the NPPES registry on June 1, 2007.

Where is Kinjal Shah located?

Kinjal Shah practices at 130 N Weber Rd Ste 100, Bolingbrook, IL 60440. The listed phone number is (630) 646-5777.

What is Kinjal Shah's specialty?

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

Is Kinjal Shah enrolled in Medicare?

Yes. Kinjal 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.

What insurance does Kinjal Shah accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Kinjal Shah 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 Kinjal Shah affiliated with any hospitals?

According to CMS data, Kinjal Shah is affiliated with Swedish Hospital, Elmhurst Memorial Hospital and Edward Hospital.

When was this NPI record last updated?

The NPPES record for Kinjal Shah was last updated on June 17, 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.