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RAKESH J SHAH M.D.
NPI 1508878422
Psychiatry & Neurology - Psychiatry in Burlington, WI

Active since August 12, 2006PECOS EnrolledAccepts Medicare Assignment
116 N DODGE ST STE 5, BURLINGTON, WI 53105(414) 773-4312 Get Directions Write a Review

NPPES record last updated: September 17, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 17, 2025, Nov 22, 2021 (2 updates tracked since 2021).

About Rakesh J Shah M.d. NPPES

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

RAKESH J SHAH M.D. (NPI 1508878422) is an individual psychiatry provider in Burlington, Wisconsin, licensed in Wisconsin (53943) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Uw Health, and maintains a secondary practice location in Burlington.

NPPES Registry Identity

NPI1508878422
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameRAKESH J SHAHCredential: M.D.
Location Address116 N DODGE ST STE 5Burlington, WI 53105-1963
Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (800) 326-2250
Phone(414) 773-4312
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateAugust 12, 2006
Last NPPES UpdateSeptember 17, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 17, 2025
✔ NPI 1508878422 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in WI · 53943
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedPsychiatry & Neurology · Clinical NeurophysiologyTaxonomy 2084N0600X · License 036117138 (IL)
116 N DODGE ST STE 5, Burlington, WI 53105
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Secondary Practice Location 1

Location 1190 Gardner Ave, suite 3Burlington, WI 53105-2160 · Phone (262) 763-7766

Other Identifiers 1

Medicaid100012176WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) and more.Insurance ›

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

Rakesh J 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 ID9931208006
PECOS Enrollment IDI20070702000113, I20110121000918
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Rakesh Shah reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Aurora Medical Group, Inc.
26 mi
Obstetrics & Gynecology
8905 W LINCOLN AVE, SUITE 515
West Allis, WI 53227
  • Reassigned Medicare billing, Wisconsin enrollment
  • 4,609 clinicians in this Medicare group
NPI 1457592735 (414) 328-8650
Swedishamerican Hospital
39 mi
General Acute Care Hospital
1625 S STATE ST
Belvidere, IL 61008
  • Reassigned Medicare billing, Illinois enrollment
  • 474 clinicians in this Medicare group
NPI 1619165214 (815) 961-2030

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 3

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
45 services19 patients
Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
44 services18 patients
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.
41 services24 patients

Hospital Affiliations CMS Care Compare

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

Uw Health

Acute Care Hospitals · Rockford, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140228
Location1401 East State StreetRockford, IL 61104 · Winnebago County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53105 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
$163.24 typical visit price
range $53.90 – $163.24
Typical copayment $40.81 (range $13.47 – $40.81)
Most-billed visit code 99205
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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.

DR. ERIN E WILLIAMS PSY.D.
Psychologist
116 N DODGE ST STE 5
BURLINGTON, WI 53105
Racine County (414) 773-4312

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 Rakesh Shah's NPI number?

The NPI number for Rakesh Shah is 1508878422. It was assigned to this individual provider in the NPPES registry on August 12, 2006.

Where is Rakesh Shah located?

Rakesh Shah practices at 116 N Dodge St Ste 5, Burlington, WI 53105. The listed phone number is (414) 773-4312.

What is Rakesh Shah's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Rakesh Shah enrolled in Medicare?

Yes. Rakesh 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 Rakesh Shah's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rakesh Shah reassigns Medicare benefits to 2 organizations: Aurora Medical Group, Inc. (West Allis, WI) and Swedishamerican Hospital (Belvidere, IL). 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 Rakesh Shah's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rakesh Shah accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Network Health and 2 other insurers list Rakesh 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 Rakesh Shah affiliated with any hospitals?

According to CMS data, Rakesh Shah is affiliated with Uw Health.

When was this NPI record last updated?

The NPPES record for Rakesh Shah was last updated on September 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.