ASHOK C SHAH MDPC
NPI 1790079234
Internal Medicine in Chicago, IL

Active since June 01, 2011CLIA 14D0424261 · Waiver
1624 W MONTROSE AVE, CHICAGO, IL 60613(773) 769-3338(773) 769-5568 Get Directions Write a Review

NPPES record last updated: June 1, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ashok C Shah Mdpc NPPES

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

ASHOK C SHAH MDPC (NPI 1790079234) is a healthcare organization registered as an internal medicine in Chicago, Illinois and active in the NPI registry since June 2011. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Ashok C Shah, M.d, as its authorized official.

NPPES Registry Identity

NPI1790079234
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameASHOK C SHAH MDPC
Location Address1624 W MONTROSE AVEChicago, IL 60613-1214
Mailing Address1624 W Montrose AveChicago, IL 60613-1214 · (773) 769-3338 · Fax (773) 769-5568
Fax(773) 769-5568
Organization SubpartNo
Authorized OfficialAshok C ShahM.d · (773) 769-3338
Enumeration DateJune 1, 2011
NPI 1790079234 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in IL · 036064449
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1624 W MONTROSE AVE, Chicago, IL 60613

Other Identifiers 1

Medicaid036064449IL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D0424261

Ashok Shah MD · Chicago, IL
Active · expires Aug 31, 2026
CLIA Number14D0424261
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorAshok Shah
Laboratory Phone(778) 769-3338
Laboratory LocationAshok Shah MD1624 W Montrose, Chicago, IL 60613
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

Dietitian, Registered
1624 W MONTROSE AVE
CHICAGO, IL 60613
Dentist (General Practice)
1624 W MONTROSE AVE
CHICAGO, IL 60613
Podiatrist (Foot & Ankle Surgery)
1624 W MONTROSE AVE
CHICAGO, IL 60613
Internal Medicine
1624 W MONTROSE AVE
CHICAGO, IL 60613

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 Ashok C Shah Mdpc's NPI number?

The NPI number for Ashok C Shah Mdpc is 1790079234. It was assigned to this organization in the NPPES registry on June 1, 2011.

Where is Ashok C Shah Mdpc located?

Ashok C Shah Mdpc is located at 1624 W Montrose Ave, Chicago, IL 60613. The listed phone number is (773) 769-3338.

What is Ashok C Shah Mdpc's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Ashok C Shah Mdpc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D0424261) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Ashok C Shah Mdpc was last updated on June 1, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.