DR. ADIT SHAH MD
NPI 1447778642
Urology in Mount Vernon, IL

Active since September 07, 2017PECOS EnrolledAccepts Medicare Assignment
93.71/100
CMS Quality Rating
8 DOCTORS PARK RD, MOUNT VERNON, IL 62864(618) 244-5500 Get Directions Write a Review

NPPES record last updated: August 14, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Adit Shah Md NPPES

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

DR. ADIT SHAH MD (NPI 1447778642) is an individual urology provider in Mount Vernon, Illinois, licensed in Illinois (036.153636) and active in the NPI registry since September 2017. He is enrolled in Medicare PECOS, is affiliated with Jersey City Medical Center, and is a graduate of University Of Virginia School Of Medicine (2015).

NPPES Registry Identity

NPI1447778642
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameDR. ADIT SHAHCredential: MD
Location Address8 DOCTORS PARK RDMount Vernon, IL 62864-6224
Mailing Address1441 Eastlake Ave Ste 7416Los Angeles, CA 90089-0112
Sole ProprietorYes
Medical School CMSUniversity Of Virginia School Of MedicineGraduated 2015
Enumeration DateSeptember 7, 2017
Last NPPES UpdateAugust 14, 2020
NPPES CertifiedAugust 14, 2020
NPI 1447778642 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License Licensed in IL · 036.153636
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
8 DOCTORS PARK RD, Mount Vernon, IL 62864

Accepted 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. Adit Shah Md 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 ID3779840277
PECOS Enrollment IDI20230322000028
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.
50 services28 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.
38 services38 patients

Hospital Affiliations CMS Care Compare

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

Jersey City Medical Center

Acute Care Hospitals · Jersey City, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310074
Location355 Grand StreetJersey City, NJ 07302 · Hudson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62864 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
$127.46 typical visit price
range $54.80 – $168.44
Typical copayment $31.86 (range $13.70 – $42.11)
Most-billed visit code 99204
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
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.

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.

93.71/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality77.79
Promoting Interoperability100
Improvement Activities40

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.

Physical Therapist
8 DOCTORS PARK RD
MOUNT VERNON, IL 62864
Pharmacist
8 DOCTORS PARK RD
MOUNT VERNON, IL 62864
Hospitalist
8 DOCTORS PARK RD
MOUNT VERNON, IL 62864
Emergency Medicine
8 DOCTORS PARK RD
MOUNT VERNON, IL 62864
Internal Medicine (Hematology & Oncology)
8 DOCTORS PARK RD
MOUNT VERNON, IL 62864
General Acute Care Hospital
8 DOCTORS PARK RD
MOUNT VERNON, IL 62864
Nurse Anesthetist, Certified Registered
8 DOCTORS PARK RD
MOUNT VERNON, IL 62864
Physician Assistant
8 DOCTORS PARK RD
MOUNT VERNON, IL 62864

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 Adit Shah's NPI number?

The NPI number for Adit Shah is 1447778642. It was assigned to this individual provider in the NPPES registry on September 7, 2017.

Where is Adit Shah located?

Adit Shah practices at 8 Doctors Park Rd, Mount Vernon, IL 62864. The listed phone number is (618) 244-5500.

What is Adit Shah's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Adit Shah enrolled in Medicare?

Yes. Adit 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.

What insurance does Adit Shah accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Adit Shah 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 Adit Shah affiliated with any hospitals?

According to CMS data, Adit Shah is affiliated with Jersey City Medical Center.

When was this NPI record last updated?

The NPPES record for Adit Shah was last updated on August 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.