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DR. SHEFALI K SHAH MD
NPI 1609815414
Family Medicine in Chicago, IL

Active since June 06, 2006PECOS EnrolledAccepts Medicare Assignment
2623 N HALSTED ST, CHICAGO, IL 60614(773) 929-7410(773) 929-7403 Get Directions Write a Review

NPPES record last updated: March 5, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Shefali K Shah Md NPPES

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

DR. SHEFALI K SHAH MD (NPI 1609815414) is an individual family medicine provider in Chicago, Illinois, licensed in Illinois (036111947) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Advocate Illinois Masonic Medical Center, and maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1609815414
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. SHEFALI K SHAHCredential: MD
Location Address2623 N HALSTED STChicago, IL 60614-2393
Mailing Address29373 Network PlChicago, IL 60673-1293 · (847) 390-5900 · Fax (847) 390-4757
Phone(773) 929-7410
Fax(773) 929-7403
Sole ProprietorYes
Medical School CMSOtherGraduated 2002
Enumeration DateJune 6, 2006
Last NPPES UpdateMarch 5, 2025
NPPES CertifiedMarch 5, 2025
✔ NPI 1609815414 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IL · 036111947
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2623 N HALSTED ST, Chicago, IL 60614
Open in Google Maps ↗

Secondary Practice Location 1

Location 12526 N Lincoln AveChicago, IL 60614-2353 · Phone (773) 929-7410

Other Identifiers 3

Medicaid036111947IL
Other110008973Railroad Medicare
Other31600190IL · Bcbs Of Il

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. Shefali K 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 ID5991725798
PECOS Enrollment IDI20051122000680
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 9

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 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.
181 services75 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
129 services75 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
59 services59 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
46 services46 patients
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.
30 services23 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
20 services18 patients

Hospital Affiliations CMS Care Compare 2

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

Advocate Illinois Masonic Medical Center

Acute Care Hospitals · Chicago, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140182
Location836 West Wellington AvenueChicago, IL 60657 · Cook County
Emergency services Birthing friendly

Advocate Lutheran General Hospital

Acute Care Hospitals · Park Ridge, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140223
Location1775 Dempster StPark Ridge, IL 60068 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60614 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers15 claims36 services$5.13 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers12 claims16 services$0.85 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$63.01 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$29.60 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

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

DR. LEE R STEIN DPM
Podiatrist (Foot & Ankle Surgery)
2623 N HALSTED ST
CHICAGO, IL 60614
Cook County (773) 477-3668
LAKE SHORE FOOT & ANKLE, PC
Podiatrist (Foot & Ankle Surgery)
2623 N HALSTED ST
CHICAGO, IL 60614
Cook County (773) 477-3668

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 Shefali Shah's NPI number?

The NPI number for Shefali Shah is 1609815414. It was assigned to this individual provider in the NPPES registry on June 6, 2006.

Where is Shefali Shah located?

Shefali Shah practices at 2623 N Halsted St, Chicago, IL 60614. The listed phone number is (773) 929-7410.

What is Shefali Shah's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Shefali Shah enrolled in Medicare?

Yes. Shefali 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 Shefali Shah affiliated with any hospitals?

According to CMS data, Shefali Shah is affiliated with Advocate Illinois Masonic Medical Center and Advocate Lutheran General Hospital.

When was this NPI record last updated?

The NPPES record for Shefali Shah was last updated on March 5, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.