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ANAYA SHAH MD
NPI 1548062490
Student in an Organized Health Care Education/Training Program in Maywood, IL

Active since March 24, 2025PECOS Enrolled
2160 S 1ST AVE, MAYWOOD, IL 60153(708) 216-8757 Get Directions Write a Review

NPPES record last updated: May 9, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 9, 2025, Mar 24, 2025 (2 updates tracked since 2025).

About Anaya Shah Md NPPES

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

ANAYA SHAH MD (NPI 1548062490) is an individual student in an organized health care education/training program in Maywood, Illinois, licensed in Illinois (125085612) and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1548062490
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameANAYA SHAHCredential: MD
Location Address2160 S 1ST AVEMaywood, IL 60153-3328
Mailing Address2160 S 1st AveMaywood, IL 60153-3328
Phone(708) 216-8757
Sole ProprietorYes
Enumeration DateMarch 24, 2025
Last NPPES UpdateMay 9, 20252 updates tracked since enumeration
NPPES CertifiedMay 9, 2025
✔ NPI 1548062490 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in IL · 125085612
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

2160 S 1ST AVE, Maywood, IL 60153
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Anaya Shah Md 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.

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.

DR. MICHAEL JM RAFFIN PH.D.
Audiologist
2160 S 1ST AVE
MAYWOOD, IL 60153
Cook County (708) 216-3821
MS. SONYA RESCHLY M.S.
Audiologist
2160 S 1ST AVE
MAYWOOD, IL 60153
Cook County (708) 216-3821
YING SUN M.S.
Specialist
2160 S 1ST AVE
MAYWOOD, IL 60153
Cook County (708) 216-3821
MRS. KATHLEEN E. SCHORE M.S., CCC-A
Specialist
2160 S 1ST AVE, LUMC/AUDIOLOGY
MAYWOOD, IL 60153
Cook County (708) 206-3821
KEVIN J EMBACH M.D.
Internal Medicine
2160 S 1ST AVE, LOYOLA UNIV. HOSPITAL, ROOM 7604
MAYWOOD, IL 60153
Cook County (708) 216-8757
J PAUL OKEEFE MD
Internal Medicine (Infectious Disease)
2160 S 1ST AVE, (1950 S. HARLEM AVE., NORTH RIVERSIDE, IL. 60546)
MAYWOOD, IL 60153
Cook County (708) 354-9250
STUART BRIAN JOHNSON MD
Internal Medicine (Infectious Disease)
2160 S 1ST AVE, 101-1740 LOYOLA UNIVERSITY MEDICAL CENTER
MAYWOOD, IL 60153
Cook County (708) 216-3232
KAMIL MUZAFFAR MD
Otolaryngology
2160 S 1ST AVE, (9608 ROBERTS RD., HICKORY HILLS, IL. 60457)
MAYWOOD, IL 60153
Cook County (708) 233-5333

Frequently Asked Questions

What is Anaya Shah's NPI number?

The NPI number assigned to this healthcare provider is 1548062490, enumerated as an "individual" on March 24, 2025.

Where is the provider located?

The provider is located at 2160 S 1ST AVE MAYWOOD, IL 60153 and the phone number is (708) 216-8757.

What is the provider's specialty?

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.