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DR. MANSI R SHAH MD, MBA
NPI 1679093413
Psychiatry & Neurology - Child & Adolescent Psychiatry in Chicago, IL

Active since June 22, 2017PECOS Enrolled
2150 WEST HARRISON STREET, CHICAGO, IL 60612(312) 942-5000 Get Directions Write a Review

NPPES record last updated: November 6, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 6, 2025, Sep 13, 2022, Jul 14, 2021 and 3 more (6 updates tracked since 2017).

About Dr. Mansi R Shah Md, Mba NPPES

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

DR. MANSI R SHAH MD, MBA (NPI 1679093413) is an individual child & adolescent psychiatry provider in Chicago, Illinois, licensed in Illinois (036159871) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS and maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1679093413
Entity TypeIndividualFemale
Primary Taxonomy2084P0804X
Provider Legal NameDR. MANSI R SHAHCredential: MD, MBA
Location Address2150 WEST HARRISON STREETChicago, IL 60612
Mailing Address4720 N Clarendon AveChicago, IL 60640-5122 · (773) 977-4031
Phone(312) 942-5000
Sole ProprietorNo
Enumeration DateJune 22, 2017
Last NPPES UpdateNovember 6, 20256 updates tracked since enumeration
NPPES CertifiedNovember 6, 2025
✔ NPI 1679093413 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in IL · 036159871
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 036159871 (IL)
2150 WEST HARRISON STREET, Chicago, IL 60612
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Secondary Practice Location 1

Location 14720 N Clarendon AveChicago, IL 60640-5122 · Phone (773) 977-4031

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. Mansi R Shah Md, Mba 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.

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 Mansi Shah's NPI number?

The NPI number for Mansi Shah is 1679093413. It was assigned to this individual provider in the NPPES registry on June 22, 2017.

Where is Mansi Shah located?

Mansi Shah practices at 2150 West Harrison Street, Chicago, IL 60612. The listed phone number is (312) 942-5000.

What is Mansi Shah's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Mansi Shah enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Mansi Shah was last updated on November 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.