NISHA J SHAH PA-C, DMSC
NPI 1346951316
Physician Assistant in Hinsdale, IL

Active since December 09, 2022PECOS EnrolledAccepts Medicare Assignment
911 N ELM ST STE 128, HINSDALE, IL 60521(630) 856-7460 Get Directions Write a Review

NPPES record last updated: April 29, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Nisha J Shah Pa-c, Dmsc NPPES

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

NISHA J SHAH PA-C, DMSC (NPI 1346951316) is an individual physician assistant in Hinsdale, Illinois, licensed in Illinois (085009076) and active in the NPI registry since December 2022. She is enrolled in Medicare PECOS, is affiliated with Advocate Sherman Hospital, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1346951316
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameNISHA J SHAHCredential: PA-C, DMSC
Location Address911 N ELM ST STE 128Hinsdale, IL 60521-3640
Mailing Address265 Carey DrRoselle, IL 60172-4908 · (630) 770-2888
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateDecember 9, 2022
Last NPPES UpdateApril 29, 2025
NPPES CertifiedApril 29, 2025
NPI 1346951316 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in IL · 085009076
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
911 N ELM ST STE 128, Hinsdale, IL 60521

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

Nisha J Shah Pa-c, Dmsc 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 ID5496127243
PECOS Enrollment IDI20230206000014
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 3

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
214 services108 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
65 services64 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
21 services20 patients

Hospital Affiliations CMS Care Compare 5

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

Advocate Sherman Hospital

Acute Care Hospitals · Elgin, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140030
Location1425 North Randall RoadElgin, IL 60123 · Kane County
Emergency services Birthing friendly

Adventist La Grange Memorial Hospital

Acute Care Hospitals · La Grange, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140065
Location5101 S Willow Springs RdLa Grange, IL 60525 · Cook County
Emergency services

Adventist Hinsdale Hospital

Acute Care Hospitals · Hinsdale, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140122
Location120 North Oak StHinsdale, IL 60521 · Du Page County
Emergency services Birthing friendly

Alexian Brothers Medical Center 1

Acute Care Hospitals · Elk Grove Village, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140258
Location800 Biesterfield RdElk Grove Village, IL 60007 · Cook County
Emergency services Birthing friendly

Uchicago Medicine Adventhealth Bolingbrook

Acute Care Hospitals · Bolingbrook, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140304
Location500 Remington BoulevardBolingbrook, IL 60440 · Will County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60521 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
$93.02 typical visit price
range $59.81 – $181.38
Typical copayment $23.25 (range $14.95 – $45.34)
Most-billed visit code 99203
Established Patient
$74.38 typical visit price
range $19.15 – $147.12
Typical copayment $18.59 (range $4.78 – $36.78)
Most-billed visit code 99213
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 12

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

Radiology (Diagnostic Radiology)
911 N ELM ST STE 128
HINSDALE, IL 60521
Physician Assistant
911 N ELM ST STE 128
HINSDALE, IL 60521
Physician Assistant
911 N ELM ST STE 128
HINSDALE, IL 60521
Physician Assistant
911 N ELM ST STE 128
HINSDALE, IL 60521
Physician Assistant
911 N ELM ST STE 128
HINSDALE, IL 60521
Radiology (Vascular & Interventional Radiology)
911 N ELM ST STE 128
HINSDALE, IL 60521
Radiology (Vascular & Interventional Radiology)
911 N ELM ST STE 128
HINSDALE, IL 60521
Nurse Practitioner (Family)
911 N ELM ST STE 128
HINSDALE, IL 60521

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 Nisha Shah's NPI number?

The NPI number for Nisha Shah is 1346951316. It was assigned to this individual provider in the NPPES registry on December 9, 2022.

Where is Nisha Shah located?

Nisha Shah practices at 911 N Elm St Ste 128, Hinsdale, IL 60521. The listed phone number is (630) 856-7460.

What is Nisha Shah's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Nisha Shah enrolled in Medicare?

Yes. Nisha 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 Nisha Shah affiliated with any hospitals?

According to CMS data, Nisha Shah is affiliated with Advocate Sherman Hospital, Adventist La Grange Memorial Hospital, Adventist Hinsdale Hospital, Alexian Brothers Medical Center 1 and Uchicago Medicine Adventhealth Bolingbrook.

When was this NPI record last updated?

The NPPES record for Nisha Shah was last updated on April 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.