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DR. AMI SHAH BEHARA M.D.
NPI 1336301027
Internal Medicine - Gastroenterology in Mt Prospect, IL

Active since June 25, 2008PECOS EnrolledAccepts Medicare Assignment
89.66/100
CMS Quality Rating
199 W RAND RD, MT PROSPECT, IL 60056(847) 725-8640(847) 618-5459 Get Directions Write a Review

NPPES record last updated: April 26, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 26, 2021, Mar 3, 2020 (2 updates tracked since 2020).

About Dr. Ami Shah Behara M.d. NPPES

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

DR. AMI SHAH BEHARA M.D. (NPI 1336301027) is an individual gastroenterology provider in Mt Prospect, Illinois, licensed in Illinois (036115299) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS, is affiliated with Northshore University Healthsystem - Evanston Hospital, and is a graduate of Northeastern Ohio University College Of Medicine (2003).

NPPES Registry Identity

NPI1336301027
Entity TypeIndividualFemale
Primary Taxonomy207RG0100X
Provider Legal NameDR. AMI SHAH BEHARACredential: M.D.
Location Address199 W RAND RDMt Prospect, IL 60056-1151
Mailing Address199 W Rand RdMt Prospect, IL 60056-1151 · (847) 725-8640 · Fax (847) 618-5459
Phone(847) 725-8640
Fax(847) 618-5459
Sole ProprietorNo
Medical School CMSNortheastern Ohio University College Of MedicineGraduated 2003
Enumeration DateJune 25, 2008
Last NPPES UpdateApril 26, 20212 updates tracked since enumeration
NPPES CertifiedApril 26, 2021
✔ NPI 1336301027 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in IL · 036115299
Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

199 W RAND RD, Mt Prospect, IL 60056
Open in Google Maps ↗

Other Names 1

Former Name (1)Dr. Ami Rupak Shah M.d.

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

Dr. Ami Shah Behara 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 ID9638208283
PECOS Enrollment IDI20100520000439
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 11

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.

Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
118 services116 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.
82 services74 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.
51 services48 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
50 services49 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
48 services47 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
45 services45 patients

Hospital Affiliations CMS Care Compare 3

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

Northshore University Healthsystem - Evanston Hospital

Acute Care Hospitals · Evanston, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140010
Location2650 Ridge AveEvanston, IL 60201 · Cook County
Emergency services Birthing friendly

Northwest Community Hospital 1

Acute Care Hospitals · Arlington Heights, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140252
Location800 W Central RoadArlington Heights, IL 60005 · Cook County
Emergency services Birthing friendly

Loyola University Medical Center

Acute Care Hospitals · Maywood, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140276
Location2160 S 1st AvenueMaywood, IL 60153 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60056 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.

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.

89.66/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality79.32
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 13

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

AARON I. BENSON M.D.
Internal Medicine (Gastroenterology)
199 W RAND RD
MT PROSPECT, IL 60056
Cook County (847) 725-8401
NORTHWEST COMMUNITY HEALTH SERVICES INC
Podiatrist
199 W RAND RD
MOUNT PROSPECT, IL 60056
Cook County (847) 618-5450
MARY FARLEY APRN
Nurse Practitioner
199 W RAND RD
MOUNT PROSPECT, IL 60056
Cook County (847) 618-5400
DR. ELIZABETH MORA PEREZ M.D.
Family Medicine
199 W RAND RD
MOUNT PROSPECT, IL 60056
Cook County (847) 618-5400
MISS REGINA WILLIAMS PA-C
Physician Assistant
199 W RAND RD
MOUNT PROSPECT, IL 60056
Cook County (847) 618-5400
MICHELLE M SEO MD
Internal Medicine
199 W RAND RD
MT PROSPECT, IL 60056
Cook County (847) 618-5450
DR. KATHRYN L EUBANKS MD
Internal Medicine
199 W RAND RD, #203
MOUNT PROSPECT, IL 60056
Cook County (847) 618-5450
DR. HYIM JOSHUA BARONOFSKY DPM
Podiatrist (Foot & Ankle Surgery)
199 W RAND RD
MT PROSPECT, IL 60056
Cook County (847) 725-8401

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 Ami Behara's NPI number?

The NPI number for Ami Behara is 1336301027. It was assigned to this individual provider in the NPPES registry on June 25, 2008. The provider is also known as Dr. Ami Rupak Shah M.D..

Where is Ami Behara located?

Ami Behara practices at 199 W Rand Rd, Mt Prospect, IL 60056. The listed phone number is (847) 725-8640.

What is Ami Behara's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Ami Behara enrolled in Medicare?

Yes. Ami Behara 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 Ami Behara accept?

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

According to CMS data, Ami Behara is affiliated with Northshore University Healthsystem - Evanston Hospital, Northwest Community Hospital 1 and Loyola University Medical Center.

When was this NPI record last updated?

The NPPES record for Ami Behara was last updated on April 26, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.