Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. POOJA SHAH DO
NPI 1629919287
Student in an Organized Health Care Education/Training Program in Maywood, IL

Active since April 06, 2026PECOS Enrolled
2160 S 1ST AVE, MAYWOOD, IL 60153(888) 584-7888 Get Directions Write a Review

NPPES record last updated: July 16, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 16, 2026, Apr 6, 2026 (2 updates tracked since 2026).

About Dr. Pooja Shah Do NPPES

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

DR. POOJA SHAH DO (NPI 1629919287) is an individual student in an organized health care education/training program in Maywood, Illinois, licensed in Illinois (125088128) and active in the NPI registry since April 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629919287
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. POOJA SHAHCredential: DO
Location Address2160 S 1ST AVEMaywood, IL 60153-3328
Mailing Address2160 S 1st AveMaywood, IL 60153-3328
Sole ProprietorYes
Enumeration DateApril 6, 2026
Last NPPES UpdateJuly 16, 20262 updates tracked since enumeration
NPPES CertifiedJuly 16, 2026
NPI 1629919287 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License Licensed in IL · 125088128
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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Pooja Shah Do 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.

Radiology (Diagnostic Radiology)
2160 S 1ST AVE
MAYWOOD, IL 60153
Podiatrist (Foot & Ankle Surgery)
2160 S 1ST AVE
MAYWOOD, IL 60153
Psychiatry & Neurology (Neurology)
2160 S 1ST AVE
MAYWOOD, IL 60153
Oral & Maxillofacial Surgery
2160 S 1ST AVE
MAYWOOD, IL 60153
Psychiatry & Neurology (Psychiatry)
2160 S 1ST AVE
MAYWOOD, IL 60153
Student in an Organized Health Care Education/Training Program
2160 S 1ST AVE
MAYWOOD, IL 60153
Orthopaedic Surgery
2160 S 1ST AVE
MAYWOOD, IL 60153
Internal Medicine
2160 S 1ST AVE
MAYWOOD, IL 60153

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 Pooja Shah's NPI number?

The NPI number for Pooja Shah is 1629919287. It was assigned to this individual provider in the NPPES registry on April 6, 2026.

Where is Pooja Shah located?

Pooja Shah practices at 2160 S 1st Ave, Maywood, IL 60153. The listed phone number is (888) 584-7888.

What is Pooja Shah's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Pooja Shah enrolled in Medicare?

Yes. Pooja Shah is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Pooja Shah was last updated on July 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 days 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.