BANSARI SHAH M.D.
NPI 1497067789
Emergency Medicine in Chicago, IL
About Bansari Shah M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BANSARI SHAH M.D. (NPI 1497067789) is an individual emergency medicine provider in Chicago, Illinois, licensed in California (A125097) and active in the NPI registry since July 2010. She is enrolled in Medicare PECOS and is a graduate of University Of California, San Diego School Of Medicine (2010).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Bansari 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.
Medicare Billing Reassignments
5Medicare enrollment records show Bansari Shah reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Germantown, MD 20876
- Reassigned Medicare billing, Maryland enrollment
- 86 clinicians in this Medicare group
Brawley, CA 92227
- Reassigned Medicare billing, California enrollment
- 1,204 clinicians in this Medicare group
Los Angeles, CA 90048
- Reassigned Medicare billing, California enrollment
- 1,001 clinicians in this Medicare group
Gardena, CA 90247
- Reassigned Medicare billing, California enrollment
- 57 clinicians in this Medicare group
Inglewood, CA 90301
- Reassigned Medicare billing, California enrollment
- 111 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 5
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 60637 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
CHICAGO, IL 60637
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 Bansari Shah's NPI number?
The NPI number for Bansari Shah is 1497067789. It was assigned to this individual provider in the NPPES registry on July 2, 2010.
Where is Bansari Shah located?
Bansari Shah practices at 5841 S Maryland Ave, Chicago, IL 60637. The listed phone number is (773) 702-6757.
What is Bansari Shah's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Bansari Shah enrolled in Medicare?
Yes. Bansari 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.
Which organizations bill Medicare for Bansari Shah's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Bansari Shah reassigns Medicare benefits to 5 organizations: Cep America LLC (Germantown, MD), Cep America - California (Brawley, CA), Cedars-Sinai Medical Center (Los Angeles, CA), Redondo Emergency Physicians, Inc. (Gardena, CA) and Centinela Freeman Emergency Medical Associates, Inc. (Inglewood, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Bansari Shah's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Bansari Shah was last updated on May 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Bansari Shah, M.D. · NPI 1497067789
Emergency Medicine physician in Chicago, Illinois. Individual provider, active in the CMS NPPES registry since July 2, 2010.
## Identity
- **NPI:** 1497067789 (Entity type: Individual)
- **Enumerated:** July 2, 2010
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** A125097 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 5841 S MARYLAND AVE, Chicago, IL 60637-1447
- **Phone:** (773) 702-6757
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Cep America LLC (NPI 1568357754, Germantown, MD); Cep America - California (NPI 1073554002, Brawley, CA); Cedars-Sinai Medical Center (NPI 1639172372, Los Angeles, CA); Redondo Emergency Physicians, Inc. (NPI 1376834937, Gardena, CA); Centinela Freeman Emergency Medical Associates, Inc. (NPI 1528333101, Inglewood, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of California, San Diego School Of Medicine, class of 2010
## Record status
- **NPPES last updated:** May 5, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1497067789) · Data from the CMS NPPES public registry.