RAJU KIRTIKUMAR SHAH MD
NPI 1669888491
Family Medicine - Geriatric Medicine in La Grange, IL

Q: What is Raju Shah's NPI number?

The NPI number for Raju Shah is 1669888491. It was assigned to this individual provider in the NPPES registry on July 1, 2014.

Q: What is Raju Shah's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

Q: When was this NPI record last updated?

The NPPES record for Raju Shah was last updated on September 4, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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 July 01, 2014PECOS Enrolled

5101 WILLOW SPRINGS RD, 2ND FLOOR, LA GRANGE, IL 60525(708) 245-8900(708) 245-5604 Get Directions Write a Review

NPPES record last updated: September 4, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Raju Kirtikumar Shah Md NPPES

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

RAJU KIRTIKUMAR SHAH MD (NPI 1669888491) is an individual geriatric medicine provider in La Grange, Illinois, licensed in Illinois (036143438) and active in the NPI registry since July 2014. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1669888491

Entity TypeIndividualMale

Primary Taxonomy207QG0300X

Provider Legal NameRAJU KIRTIKUMAR SHAHCredential: MD

Location Address5101 WILLOW SPRINGS RD, 2ND FLOORLa Grange, IL 60525-2600

Mailing Address4461 Progress BlvdPeru, IL 61354-1109 · (815) 223-9683 · Fax (815) 223-9683

Phone(708) 245-8900

Fax(708) 245-5604

Sole ProprietorNo

Enumeration DateJuly 1, 2014

Last NPPES UpdateSeptember 4, 2018

✔ NPI 1669888491 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QG0300X

License✔ Licensed in IL · 036143438

Definition

A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 125065796 (IL)

5101 WILLOW SPRINGS RD, La Grange, IL 60525

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Secondary Practice Locations 2

Location 15101 Willow Springs Rd, 2ND FLOORLA Grange, IL 60525-2600 · Phone (708) 245-8900 · Fax (708) 245-5604

Location 24461 Progress BlvdPeru, IL 61354-1109 · Phone (815) 223-9683 · Fax (815) 223-9683

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Raju Kirtikumar Shah Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60525 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.

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.

KEVIN DARNELL JOHNSON MD

Student in an Organized Health Care Education/Training Program

5101 WILLOW SPRINGS RD, 2ND FLOOR
LA GRANGE, IL 60525

Cook County (708) 245-8900

ASHFAQ A ARAIN

Specialist/Technologist, Other (Surgical Technologist)