DR. PRAKRITI SHAH D.O.
NPI 1578754354
Emergency Medicine in Rockford, IL

Active since August 06, 2007PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
5666 E STATE ST, ROCKFORD, IL 61108(815) 226-2000 Get Directions Write a Review

NPPES record last updated: April 20, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Dr. Prakriti Shah D.o. NPPES

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

DR. PRAKRITI SHAH D.O. (NPI 1578754354) is an individual emergency medicine provider in Rockford, Illinois, licensed in Illinois (036122183) and active in the NPI registry since August 2007. She is enrolled in Medicare PECOS, is affiliated with Fhn Memorial Hospital, and maintains a secondary practice location in Freeport.

NPPES Registry Identity

NPI1578754354
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameDR. PRAKRITI SHAHCredential: D.O.
Location Address5666 E STATE STRockford, IL 61108-2425
Mailing Address5666 E State StRockford, IL 61108-2425 · (815) 226-2000
Sole ProprietorYes
Medical School CMSNew York College Of Osteo Medicine Of New York Institute Of TechnologyGraduated 2003
Enumeration DateAugust 6, 2007
Last NPPES UpdateApril 20, 2026
NPPES CertifiedApril 20, 2026
✔ NPI 1578754354 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in IL · 036122183✔ Licensed in NY · 242674
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
5666 E STATE ST, Rockford, IL 61108

Other Names 1

Other Name (5)Prakriti Brook Shah

Secondary Practice Location 1

Location 11045 W Stephenson StFreeport, IL 61032-4864 · Phone (815) 599-6000

Other Identifiers 1

Medicaid0141313NJ

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

Dr. Prakriti Shah D.o. 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 ID5890881551
PECOS Enrollment IDI20090504000254
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 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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
401 services379 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
108 services106 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
80 services77 patients

Hospital Affiliations CMS Care Compare 2

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

Fhn Memorial Hospital

Acute Care Hospitals · Freeport, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140160
Location1045 West Stephenson StreetFreeport, IL 61032 · Stephenson County
Emergency services Birthing friendly

Saint Anthony Medical Center

Acute Care Hospitals · Rockford, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140233
Location5666 East State StreetRockford, IL 61108 · Winnebago County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61108 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost94.69

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.

Specialist
5666 E STATE ST
ROCKFORD, IL 61108
Internal Medicine
5666 E STATE ST
ROCKFORD, IL 61108
Nurse Anesthetist, Certified Registered
5666 E STATE ST
ROCKFORD, IL 61108
Nurse Practitioner (Family)
5666 E STATE ST
ROCKFORD, IL 61108
Radiology (Diagnostic Radiology)
5666 E STATE ST
ROCKFORD, IL 61108
Nurse Practitioner (Family)
5666 E STATE ST
ROCKFORD, IL 61108
Physical Therapist
5666 E STATE ST
ROCKFORD, IL 61108
Internal Medicine
5666 E STATE ST
ROCKFORD, IL 61108

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 Prakriti Shah's NPI number?

The NPI number for Prakriti Shah is 1578754354. It was assigned to this individual provider in the NPPES registry on August 6, 2007. The provider is also known as Prakriti Brook Shah.

Where is Prakriti Shah located?

Prakriti Shah practices at 5666 E State St, Rockford, IL 61108. The listed phone number is (815) 226-2000.

What is Prakriti Shah's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Prakriti Shah enrolled in Medicare?

Yes. Prakriti 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 Prakriti Shah affiliated with any hospitals?

According to CMS data, Prakriti Shah is affiliated with Fhn Memorial Hospital and Saint Anthony Medical Center.

When was this NPI record last updated?

The NPPES record for Prakriti Shah was last updated on April 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.