SANJIV SHAH MD
NPI 1699971556
Internal Medicine - Cardiovascular Disease in Chicago, IL

Active since June 26, 2007PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
675 N SAINT CLAIR ST, SUITE 19-100, CHICAGO, IL 60611(312) 695-4965 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sanjiv Shah Md NPPES

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

SANJIV SHAH MD (NPI 1699971556) is an individual cardiovascular disease provider in Chicago, Illinois and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, is affiliated with Palos Community Hospital, and is a graduate of Northwestern University Feinberg Medical School (2000).

NPPES Registry Identity

NPI1699971556
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameSANJIV SHAHCredential: MD
Location Address675 N SAINT CLAIR ST, SUITE 19-100Chicago, IL 60611-5975
Mailing Address680 N Lake Shore Dr, Suite 1000Chicago, IL 60611-4546 · (312) 695-9797
Sole ProprietorNo
Medical School CMSNorthwestern University Feinberg Medical SchoolGraduated 2000
Enumeration DateJune 26, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1699971556 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
675 N SAINT CLAIR ST, Chicago, IL 60611

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

Sanjiv Shah Md 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 ID7517059397
PECOS Enrollment IDI20070824000222
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 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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
237 services132 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
12 services12 patients

Hospital Affiliations CMS Care Compare 5

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

Palos Community Hospital

Acute Care Hospitals · Palos Heights, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140062
Location12251 South 80th AvenuePalos Heights, IL 60463 · Cook County
Emergency services Birthing friendly

Northwestern Medicine Mchenry

Acute Care Hospitals · Mchenry, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140116
Location4201 Medical Center DriveMchenry, IL 60050 · Mc Henry County
Emergency services Birthing friendly

Northwestern Lake Forest Hospital

Acute Care Hospitals · Lake Forest, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140130
Location1000 N Westmoreland RoadLake Forest, IL 60045 · Lake County
Emergency services Birthing friendly

Northwestern Medicine Central Dupage Hospital

Acute Care Hospitals · Winfield, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140242
Location25 North Winfield RoadWinfield, IL 60190 · Du Page 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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60611 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
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
Most-billed visit code 99213
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.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.59
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 7

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) A4221
DME-Other DME · category DE017N
1 supplier34 claims34 services$18.39 avg. paid by Medicare
Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) A4222
DME-Medical/Surgical Supplies · category DA000N
1 supplier50 claims175 services$35.37 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$15.33 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers25 claims25 services$82.08 avg. paid by Medicare
Injection, dobutamine hydrochloride, per 250 mg J1250
Treatment-Injections and Infusions (nononcologic) · category RI000N
1 supplier50 claims502 services$5.02 avg. paid by Medicare
Treprostinil, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, 1.74 mg J7686
DME-Drugs Administered Through DME · category DG004N
1 supplier13 claims344 services$549.62 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Nurse Practitioner (Acute Care)
675 N SAINT CLAIR ST
CHICAGO, IL 60611
Nurse Practitioner (Adult Health)
675 N SAINT CLAIR ST, 21-100
CHICAGO, IL 60611
Surgery (Vascular Surgery)
675 N SAINT CLAIR ST, NORTHWESTERN MEMORIAL HOSPIALT GALTER 19-100
CHICAGO, IL 60611
Internal Medicine (Gastroenterology)
675 N SAINT CLAIR ST, SUITE 17-250
CHICAGO, IL 60611
Internal Medicine (Gastroenterology)
675 N SAINT CLAIR ST, GASTROENTEROLOGY - SUITE 1400
CHICAGO, IL 60611
Psychologist (Clinical)
675 N SAINT CLAIR ST, SUITE 14-200
CHICAGO, IL 60611
Occupational Therapist
675 N SAINT CLAIR ST
CHICAGO, IL 60611
Internal Medicine (Hematology)
675 N SAINT CLAIR ST, GALTER 21-100
CHICAGO, IL 60611

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 Sanjiv Shah's NPI number?

The NPI number for Sanjiv Shah is 1699971556. It was assigned to this individual provider in the NPPES registry on June 26, 2007.

Where is Sanjiv Shah located?

Sanjiv Shah practices at 675 N Saint Clair St Suite 19-100, Chicago, IL 60611. The listed phone number is (312) 695-4965.

What is Sanjiv Shah's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Sanjiv Shah enrolled in Medicare?

Yes. Sanjiv 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.

Is Sanjiv Shah affiliated with any hospitals?

According to CMS data, Sanjiv Shah is affiliated with Palos Community Hospital, Northwestern Medicine Mchenry, Northwestern Lake Forest Hospital, Northwestern Medicine Central Dupage Hospital and Northwestern Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Sanjiv Shah was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.