SERENA SHAH
NPI 1417753211
Ophthalmology in Chicago, IL

Q: What is Serena Shah's NPI number?

The NPI number for Serena Shah is 1417753211. It was assigned to this individual provider in the NPPES registry on February 21, 2025.

Q: What is Serena Shah's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Q: When was this NPI record last updated?

The NPPES record for Serena Shah was last updated on August 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since February 21, 2025PECOS Enrolled

1009 S WOOD ST, CHICAGO, IL 60612(905) 651-8611 Get Directions Write a Review

NPPES record last updated: August 22, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Serena Shah NPPES

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

SERENA SHAH (NPI 1417753211) is an individual ophthalmology provider in Chicago, Illinois, licensed in Illinois (125.086167) and active in the NPI registry since February 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417753211

Entity TypeIndividualFemale

Primary Taxonomy207W00000X

Provider Legal NameSERENA SHAH

Location Address1009 S WOOD STChicago, IL 60612-3747

Mailing Address1009 S Wood StChicago, IL 60612-3747 · (905) 651-8611

Phone(905) 651-8611

Sole ProprietorNo

Enumeration DateFebruary 21, 2025

Last NPPES UpdateAugust 22, 2025

NPPES CertifiedAugust 22, 2025

✔ NPI 1417753211 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in IL · 125.086167

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1009 S WOOD ST, Chicago, IL 60612

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Serena Shah is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60612 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

$74.80 typical visit price

range $18.97 – $148.12

Typical copayment $18.70 (range $4.74 – $37.03)

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 20

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

SAMUEL JOHN OHLANDER M.D.

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