DR. SAMIR K SHAH M.D.
NPI 1427072768
Internal Medicine - Cardiovascular Disease in Maryville, IL

Active since July 27, 2006PECOS EnrolledAccepts Medicare Assignment
6810 STATE ROUTE 162 STE 102, MARYVILLE, IL 62062(618) 288-4076(618) 288-4215 Get Directions Write a Review

NPPES record last updated: November 25, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 25, 2025, Nov 12, 2025, Apr 30, 2024 and 3 more (6 updates tracked since 2017).

About Dr. Samir K Shah M.d. NPPES

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

DR. SAMIR K SHAH M.D. (NPI 1427072768) is an individual cardiovascular disease provider in Maryville, Illinois, licensed in Illinois (036-063403) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Memorial Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1427072768
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. SAMIR K SHAHCredential: M.D.
Location Address6810 STATE ROUTE 162 STE 102Maryville, IL 62062-8560
Mailing AddressPo Box 959203Saint Louis, MO 63195-9203 · (618) 288-4076 · Fax (618) 288-4215
Fax(618) 288-4215
Sole ProprietorNo
Medical School CMSOtherGraduated 1979
Enumeration DateJuly 27, 2006
Last NPPES UpdateNovember 25, 20256 updates tracked since enumeration
NPPES CertifiedNovember 25, 2025
NPI 1427072768 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in IL · 036-063403
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedInternal Medicine · Adolescent MedicineTaxonomy 207RA0000X · License 036-063403 (IL)
Also ListedInternal Medicine · Geriatric MedicineTaxonomy 207RG0300X · License 036-063403 (IL)
6810 STATE ROUTE 162 STE 102, Maryville, IL 62062

Secondary Practice Locations 2

Location 12350 N Rockton AveRockford, IL 61103-3600 · Phone (815) 971-2200 · Fax (815) 971-9097
Location 24600 Memorial Dr Ste 300Belleville, IL 62226-5363 · Phone (618) 233-3066 · Fax (314) 996-7658

Other Identifiers 2

Other01636052IL · Bcbs
Medicaid036063403IL

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. Samir K 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 ID3779591185
PECOS Enrollment IDI20060328000253
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 6

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.
124 services65 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.
69 services67 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
23 services23 patients
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician 93016
An exercise or drug-induced heart stress test with ECG involves monitoring your heart's activity while it's under stress, either from exercise or medication. A doctor supervises the entire procedure to ensure safety and accuracy in results. This test helps detect heart problems.
16 services16 patients
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician 93018
An exercise or drug-induced heart stress test with ECG is a procedure to assess how your heart functions under stress. It can involve exercising or medication to make your heart work harder while an ECG records its activity. A physician reviews the results.
16 services16 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Memorial Hospital

Acute Care Hospitals · Belleville, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140185
Location4500 Memorial DriveBelleville, IL 62226 · St. Clair County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62062 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
$131.14 typical visit price
range $56.28 – $173.35
Typical copayment $32.78 (range $14.07 – $43.33)
Most-billed visit code 99204
Established Patient
$70.42 typical visit price
range $17.51 – $139.99
Typical copayment $17.60 (range $4.37 – $34.99)
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

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

Nurse Practitioner
6810 STATE ROUTE 162 STE 102
MARYVILLE, IL 62062

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 Samir Shah's NPI number?

The NPI number for Samir Shah is 1427072768. It was assigned to this individual provider in the NPPES registry on July 27, 2006.

Where is Samir Shah located?

Samir Shah practices at 6810 State Route 162 Ste 102, Maryville, IL 62062. The listed phone number is (618) 288-4076.

What is Samir Shah's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Samir Shah enrolled in Medicare?

Yes. Samir 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 Samir Shah affiliated with any hospitals?

According to CMS data, Samir Shah is affiliated with Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Samir Shah was last updated on November 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.