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BIRAJ M. SHAH D.D.S., M.D.
NPI 1669746418
Oral & Maxillofacial Surgery in Chicago, IL

Active since February 25, 2012PECOS EnrolledAccepts Medicare Assignment
1900 W POLK ST STE 612, CHICAGO, IL 60612(312) 864-3202 Get Directions Write a Review

NPPES record last updated: March 3, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 3, 2026, Jan 4, 2022, Apr 30, 2021 and 2 more (5 updates tracked since 2018).

About Biraj M. Shah D.d.s., M.d. NPPES

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

BIRAJ M. SHAH D.D.S., M.D. (NPI 1669746418) is an individual oral & maxillofacial surgery provider in Chicago, Illinois, licensed in Illinois (036-147405) and active in the NPI registry since February 2012. He is enrolled in Medicare PECOS, is affiliated with John H Stroger Jr Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1669746418
Entity TypeIndividualMale
Primary Taxonomy204E00000X
Provider Legal NameBIRAJ M. SHAHCredential: D.D.S., M.D.
Location Address1900 W POLK ST STE 612Chicago, IL 60612
Mailing Address1900 W Polk St Ste 612Chicago, IL 60612-3723 · (312) 864-3202
Phone(312) 864-3202
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateFebruary 25, 2012
Last NPPES UpdateMarch 3, 20265 updates tracked since enumeration
NPPES CertifiedMarch 3, 2026
✔ NPI 1669746418 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
License✔ Licensed in IL · 036-147405
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X · License 019.031724 (IL), 036147405 (IL)
1900 W POLK ST STE 612, Chicago, IL 60612
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Secondary Practice Locations 2

Location 1811 W Wellington AveChicago, IL 60657-5123 · Phone (773) 245-5253
Location 2676 N Saint Clair St Ste 520Chicago, IL 60611-2982 · Phone (312) 926-5992 · Fax (312) 695-4303

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Biraj M. Shah D.d.s., M.d. 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 ID8628375425
PECOS Enrollment IDI20181204003506
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Biraj Shah reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cook County
0.1 mi
Family Medicine
605 S WOLCOTT AVE, SUITE 605
Chicago, IL 60612
  • Reassigned Medicare billing, Illinois enrollment
  • 1,047 clinicians in this Medicare group
NPI 1912063439 (312) 864-4649
Oral And Maxilloficial Head And Neck Associates LLC
11 mi
Otolaryngology
4400 W 95TH ST STE 113
Oak Lawn, IL 60453
  • Reassigned Medicare billing, Illinois enrollment
  • 8 clinicians in this Medicare group
NPI 1821652736 (773) 245-5253
Northwestern Medical Faculty Foundation
32 mi
Multi-Specialty
DEPT 5777
Carol Stream, IL 60122
  • Reassigned Medicare billing, Illinois enrollment
  • 4,817 clinicians in this Medicare group
NPI 1346235314 (855) 694-2866

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

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 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.
33 services24 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
26 services26 patients

Hospital Affiliations CMS Care Compare 2

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

John H Stroger Jr Hospital

Acute Care Hospitals · Chicago, IL
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number140124
Location1901 W Harrison StChicago, IL 60612 · Cook County
Emergency services Birthing friendly

Northwestern Memorial Hospital

Acute Care Hospitals · Chicago, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140281
Location251 E Huron StChicago, IL 60611 · Cook County
Emergency services Birthing friendly

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 Biraj Shah's NPI number?

The NPI number for Biraj Shah is 1669746418. It was assigned to this individual provider in the NPPES registry on February 25, 2012.

Where is Biraj Shah located?

Biraj Shah practices at 1900 W Polk St Ste 612, Chicago, IL 60612. The listed phone number is (312) 864-3202.

What is Biraj Shah's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Is Biraj Shah enrolled in Medicare?

Yes. Biraj 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.

Which organizations bill Medicare for Biraj Shah's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Biraj Shah reassigns Medicare benefits to 3 organizations: Cook County (Chicago, IL), Oral And Maxilloficial Head And Neck Associates LLC (Oak Lawn, IL) and Northwestern Medical Faculty Foundation (Carol Stream, IL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Biraj Shah's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Biraj Shah accept?

Health plans from Ambetter Health, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Guardian and 1 other insurer list Biraj Shah as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Biraj Shah affiliated with any hospitals?

According to CMS data, Biraj Shah is affiliated with John H Stroger Jr Hospital and Northwestern Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Biraj Shah was last updated on March 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.