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DR. NIRANJANA SHAH M.D.
NPI 1316910250
Internal Medicine in Chicago, IL

Active since February 10, 2006PECOS EnrolledAccepts Medicare Assignment
7101 W HIGGINS AVE, CHICAGO, IL 60656(773) 763-6364(773) 792-9119 Get Directions Write a Review

NPPES record last updated: June 12, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Niranjana Shah M.d. NPPES

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

DR. NIRANJANA SHAH M.D. (NPI 1316910250) is an individual internal medicine provider in Chicago, Illinois, licensed in Illinois (036078000) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS, is affiliated with Swedish Hospital, and is a graduate of Other (1978).

NPPES Registry Identity

NPI1316910250
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. NIRANJANA SHAHCredential: M.D.
Location Address7101 W HIGGINS AVEChicago, IL 60656-1903
Mailing Address7101 W Higgins AveChicago, IL 60656-1903 · (773) 763-6364 · Fax (773) 792-9119
Phone(773) 763-6364
Fax(773) 792-9119
Sole ProprietorYes
Medical School CMSOtherGraduated 1978
Enumeration DateFebruary 10, 2006
Last NPPES UpdateJune 12, 2013
✔ NPI 1316910250 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 · 036078000
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.
7101 W HIGGINS AVE, Chicago, IL 60656
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Other Identifiers 2

Medicaid036078000IL
Medicare UPINF41333IL

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. Niranjana 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 ID143403907
PECOS Enrollment IDI20110331000892
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 2

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 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.
100 services24 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.
41 services18 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

Amita Health Resurrection Medical Center

Acute Care Hospitals · Chicago, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140117
Location7435 W Talcott AvenueChicago, IL 60631 · Cook County
Emergency services Birthing friendly

Advocate Illinois Masonic Medical Center

Acute Care Hospitals · Chicago, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140182
Location836 West Wellington AvenueChicago, IL 60657 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60656 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 5

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

UDAY I VYAS MD SC
Internal Medicine (Cardiovascular Disease)
7101 W HIGGINS AVE
CHICAGO, IL 60656
Cook County (773) 792-9111
MIDWEST ANESTHESIA AND PAIN SPECIALISTS, SC
Clinic/Center (Multi-Specialty)
7101 W HIGGINS AVE
CHICAGO, IL 60656
Cook County (847) 348-8250
MS. MEGAN CHRISTINA KOPFENSTEINER MS, RD, LDN, CNSC
Dietitian, Registered
7101 W HIGGINS AVE
CHICAGO, IL 60656
Cook County (317) 709-3430
ASHOK M DOSHI M.D.S.C. LTD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
7101 W HIGGINS AVE
CHICAGO, IL 60656
Cook County (773) 763-6260
DR. ASHOKKUMAR M DOSHI M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
7101 W HIGGINS AVE
CHICAGO, IL 60656
Cook County (773) 763-6260

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 Niranjana Shah's NPI number?

The NPI number for Niranjana Shah is 1316910250. It was assigned to this individual provider in the NPPES registry on February 10, 2006.

Where is Niranjana Shah located?

Niranjana Shah practices at 7101 W Higgins Ave, Chicago, IL 60656. The listed phone number is (773) 763-6364.

What is Niranjana Shah's specialty?

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

Is Niranjana Shah enrolled in Medicare?

Yes. Niranjana 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 Niranjana Shah affiliated with any hospitals?

According to CMS data, Niranjana Shah is affiliated with Swedish Hospital, Amita Health Resurrection Medical Center and Advocate Illinois Masonic Medical Center.

When was this NPI record last updated?

The NPPES record for Niranjana Shah was last updated on June 12, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.