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METALI SHAH
NPI 1689240236
Nurse Practitioner - Family in South Elgin, IL

Active since June 02, 2021PECOS EnrolledAccepts Medicare Assignment
82.3/100
CMS Quality Rating
255 N MCLEAN BLVD, SOUTH ELGIN, IL 60177(866) 389-2727 Get Directions Write a Review

NPPES record last updated: December 1, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 1, 2025, Jan 9, 2023, Jun 2, 2021 (3 updates tracked since 2021).

About Metali Shah NPPES

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

METALI SHAH (NPI 1689240236) is an individual family provider in South Elgin, Illinois, licensed in Illinois (209022306) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1689240236
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMETALI SHAH
Location Address255 N MCLEAN BLVDSouth Elgin, IL 60177-1800
Mailing Address9139 Broadway AveBrookfield, IL 60513-1303
Phone(866) 389-2727
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJune 2, 2021
Last NPPES UpdateDecember 1, 20253 updates tracked since enumeration
NPPES CertifiedDecember 1, 2025
✔ NPI 1689240236 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IL · 209022306
255 N MCLEAN BLVD, South Elgin, IL 60177
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

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

Metali Shah 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 ID1557753217
PECOS Enrollment IDI20220110001898
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 4

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.
46 services45 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.
20 services20 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.
15 services15 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60177 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
$93.02 typical visit price
range $59.81 – $181.38
Typical copayment $23.25 (range $14.95 – $45.34)
Most-billed visit code 99203
Established Patient
$105.07 typical visit price
range $19.15 – $147.12
Typical copayment $26.26 (range $4.78 – $36.78)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

82.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.7
Improvement Activities40
Cost81.88

Other Providers at the Same Location NPPES 7

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

MRS. SONIA MAHMOOD FNP-C
Nurse Practitioner (Family)
255 N MCLEAN BLVD
SOUTH ELGIN, IL 60177
Kane County (866) 389-2727
MS. COLLEEN MCKEOWN M.S., FNP-BC, IBCLC
Nurse Practitioner (Family)
255 N MCLEAN BLVD
SOUTH ELGIN, IL 60177
Kane County (630) 267-2438
HIGHLAND PARK CVS, L.L.C.
Pharmacy
255 N MCLEAN BLVD
SOUTH ELGIN, IL 60177
Kane County (847) 695-7193
BEENA V. LOPEZ FNP-BC
Nurse Practitioner (Family)
255 N MCLEAN BLVD
SOUTH ELGIN, IL 60177
Kane County (866) 389-2727
BHAVIK TEJANI
Pharmacist
255 N MCLEAN BLVD
SOUTH ELGIN, IL 60177
Kane County (847) 695-7193
DR. AHMED A ALRASHEEDY RPH
Pharmacist
255 N MCLEAN BLVD
SOUTH ELGIN, IL 60177
Kane County (847) 695-7193
MRS. COLETTE MARIE MATEJCAK FNP
Nurse Practitioner (Family)
255 N MCLEAN BLVD
SOUTH ELGIN, IL 60177
Kane County (866) 389-2727

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 Metali Shah's NPI number?

The NPI number for Metali Shah is 1689240236. It was assigned to this individual provider in the NPPES registry on June 2, 2021.

Where is Metali Shah located?

Metali Shah practices at 255 N Mclean Blvd, South Elgin, IL 60177. The listed phone number is (866) 389-2727.

What is Metali Shah's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Metali Shah enrolled in Medicare?

Yes. Metali 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.

What insurance does Metali Shah accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Metali 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.

When was this NPI record last updated?

The NPPES record for Metali Shah was last updated on December 1, 2025. 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.