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VICKI M SHAH PA
NPI 1457502478
Physician Assistant in Chicago, IL

Active since October 08, 2008PECOS Enrolled
1725 W HARRISON ST STE 319, CHICAGO, IL 60612(312) 942-8910 Get Directions Write a Review

NPPES record last updated: January 7, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Vicki M Shah Pa NPPES

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

VICKI M SHAH PA (NPI 1457502478) is an individual physician assistant in Chicago, Illinois and active in the NPI registry since October 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1457502478
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameVICKI M SHAHCredential: PA
Location Address1725 W HARRISON ST STE 319Chicago, IL 60612-3852
Mailing Address1725 W Harrison St Ste 319Chicago, IL 60612-3852 · (312) 942-8910
Phone(312) 942-8910
Sole ProprietorNo
Enumeration DateOctober 8, 2008
Last NPPES UpdateJanuary 7, 2016
✔ NPI 1457502478 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.
1725 W HARRISON ST STE 319, Chicago, IL 60612
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Other Identifiers 1

Medicare PINIL3270517IL

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Vicki M Shah Pa 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
4 suppliers21 claims1,680 services$0.29 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
4 suppliers19 claims19 services$16.99 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
3 suppliers11 claims13 services$11.61 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Vicki Shah's NPI number?

The NPI number for Vicki Shah is 1457502478. It was assigned to this individual provider in the NPPES registry on October 8, 2008.

Where is Vicki Shah located?

Vicki Shah practices at 1725 W Harrison St Ste 319, Chicago, IL 60612. The listed phone number is (312) 942-8910.

What is Vicki Shah's specialty?

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

Is Vicki Shah enrolled in Medicare?

Yes. Vicki Shah is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Vicki Shah was last updated on January 7, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.