PARTH SHAH MD
NPI 1548722713
Hospitalist in Alton, IL

Q: What is Parth Shah's NPI number?

The NPI number for Parth Shah is 1548722713. It was assigned to this individual provider in the NPPES registry on April 4, 2019.

Q: What is Parth Shah's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Q: When was this NPI record last updated?

The NPPES record for Parth Shah was last updated on September 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.

Active since April 04, 2019PECOS EnrolledAccepts Medicare Assignment

1 MEMORIAL DR, ALTON, IL 62002(618) 463-7240 Get Directions Write a Review

NPPES record last updated: September 20, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 20, 2024, Jul 6, 2022, Apr 4, 2019 (3 updates tracked since 2019).

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About Parth Shah Md NPPES

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

PARTH SHAH MD (NPI 1548722713) is an individual hospitalist provider in Alton, Illinois, licensed in Illinois (036159727) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, is affiliated with Northwestern Medicine Delnor Community Hospital, and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (2018).

NPPES Registry Identity

NPI1548722713

Entity TypeIndividualMale

Primary Taxonomy208M00000X

Provider Legal NamePARTH SHAHCredential: MD

Location Address1 MEMORIAL DRAlton, IL 62002-6722

Mailing Address300 Randall RdGeneva, IL 60134-4200 · (630) 933-4700 · Fax (630) 933-4427

Phone(618) 463-7240

Sole ProprietorNo

Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 2018

Enumeration DateApril 4, 2019

Last NPPES UpdateSeptember 20, 20243 updates tracked since enumeration

NPPES CertifiedSeptember 20, 2024

✔ NPI 1548722713 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

License✔ Licensed in IL · 036159727

Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedInternal MedicineTaxonomy 207R00000X · License 036159727 (IL)

1 MEMORIAL DR, Alton, IL 62002

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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 and accepts Medicare assignment

Parth 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 ID7012241763

PECOS Enrollment IDI20220829001814

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 6

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

475 services188 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

164 services157 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

63 services62 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

51 services35 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

19 services19 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

17 services13 patients

Hospital Affiliations CMS Care Compare

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

Northwestern Medicine Delnor Community Hospital

Acute Care Hospitals · Geneva, IL

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140211

Location300 Randall RdGeneva, IL 60134 · Kane County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62002 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

$131.14 typical visit price

range $56.28 – $173.35

Typical copayment $32.78 (range $14.07 – $43.33)

Most-billed visit code 99204

Established Patient

$99.71 typical visit price

range $17.51 – $139.99

Typical copayment $24.92 (range $4.37 – $34.99)

Most-billed visit code 99214

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 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DIA M MILAZZO CRNA

Nurse Anesthetist, Certified Registered

1 MEMORIAL DR
ALTON, IL 62002

Madison County (618) 463-7311

DR. JULETTA AVAGYAN M.D.

Hospitalist

1 MEMORIAL DR
ALTON, IL 62002

Madison County (618) 463-7240

RODGER HANKO M.D.

Emergency Medicine

1 MEMORIAL DR
ALTON, IL 62002

Madison County (618) 463-7311

MATTHEW E DUBAN M.D., FACEP

Emergency Medicine

1 MEMORIAL DR
ALTON, IL 62002

Madison County (618) 463-7311

MS. SYLVIA G HOORMANN CRNA

Nurse Anesthetist, Certified Registered

1 MEMORIAL DR
ALTON, IL 62002

Madison County (618) 463-7311

MS. MEREDITH ANNE PARKER MSW, LCSW

Social Worker (Clinical)

1 MEMORIAL DR, 2ND FLOOR, OLIN WING
ALTON, IL 62002

Madison County (618) 463-7523

HOME CARE PHARMACY REFILL CTR

Pharmacy (Mail Order Pharmacy)

1 MEMORIAL DR
ALTON, IL 62002

Madison County (618) 463-7833

ALTON MEMORIAL HOSPITAL

Ambulance

1 MEMORIAL DR
ALTON, IL 62002

Madison County (618) 463-7311

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 Parth Shah's NPI number?

The NPI number for Parth Shah is 1548722713. It was assigned to this individual provider in the NPPES registry on April 4, 2019.

Where is Parth Shah located?

Parth Shah practices at 1 Memorial Dr, Alton, IL 62002. The listed phone number is (618) 463-7240.

What is Parth Shah's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Parth Shah enrolled in Medicare?

Yes. Parth 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.

Is Parth Shah affiliated with any hospitals?

According to CMS data, Parth Shah is affiliated with Northwestern Medicine Delnor Community Hospital.

When was this NPI record last updated?

The NPPES record for Parth Shah was last updated on September 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.