KHUSHBU SHAH DDS
NPI 1720333974
Dentist in Chicago, IL

Active since July 13, 2012PECOS Enrolled
2424 W PETERSON AVE, CHICAGO, IL 60659(773) 761-0300 Get Directions Write a Review

NPPES record last updated: February 10, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 10, 2022, Jan 31, 2022 (2 updates tracked since 2022).

About Khushbu Shah Dds NPPES

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

KHUSHBU SHAH DDS (NPI 1720333974) is an individual dentist in Chicago, Illinois, licensed in Illinois (319.018163) and active in the NPI registry since July 2012. She is enrolled in Medicare PECOS and maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1720333974
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameKHUSHBU SHAHCredential: DDS
Location Address2424 W PETERSON AVEChicago, IL 60659-4100
Mailing Address2424 W Peterson AveChicago, IL 60659-4100
Sole ProprietorYes
Enumeration DateJuly 13, 2012
Last NPPES UpdateFebruary 10, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 31, 2022
NPI 1720333974 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in IL · 319.018163
Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

2424 W PETERSON AVE, Chicago, IL 60659

Secondary Practice Location 1

Location 12501 W Peterson aveChicago, IL 60659 · Phone (773) 761-0300 · Fax (773) 761-0009

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Khushbu Shah Dds 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 60659 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
$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.

Other Providers at the Same Location NPPES 14

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

Community/Behavioral Health
2424 W PETERSON AVE
CHICAGO, IL 60659
Dentist (General Practice)
2424 W PETERSON AVE
CHICAGO, IL 60659
Counselor (Mental Health)
2424 W PETERSON AVE
CHICAGO, IL 60659
Clinic/Center (Mental Health (Including Community Mental Health Center))
2424 W PETERSON AVE
CHICAGO, IL 60659
Counselor (Professional)
2424 W PETERSON AVE
CHICAGO, IL 60659
Dentist
2424 W PETERSON AVE
CHICAGO, IL 60659
Counselor (Mental Health)
2424 W PETERSON AVE
CHICAGO, IL 60659
Family Medicine
2424 W PETERSON AVE, SUITE 200
CHICAGO, IL 60659

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 Khushbu Shah's NPI number?

The NPI number for Khushbu Shah is 1720333974. It was assigned to this individual provider in the NPPES registry on July 13, 2012.

Where is Khushbu Shah located?

Khushbu Shah practices at 2424 W Peterson Ave, Chicago, IL 60659. The listed phone number is (773) 761-0300.

What is Khushbu Shah's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Khushbu Shah enrolled in Medicare?

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

What insurance does Khushbu Shah accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Anthem Blue Cross and Blue Shield and BEST Life and 8 other insurers list Khushbu 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 Khushbu Shah was last updated on February 10, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.