EJAZ SHAH
NPI 1871041244
Internal Medicine - Hematology & Oncology in Springfield, IL

Active since September 14, 2016PECOS EnrolledAccepts Medicare Assignment
94.61/100
CMS Quality Rating
315 W CARPENTER ST, SPRINGFIELD, IL 62702(217) 545-8000 Get Directions Write a Review

NPPES record last updated: April 21, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 21, 2026, Jan 5, 2022, Jul 1, 2019 and 1 more (4 updates tracked since 2016).

About Ejaz Shah NPPES

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

EJAZ SHAH (NPI 1871041244) is an individual hematology & oncology provider in Springfield, Illinois, licensed in Illinois (036149641) and active in the NPI registry since September 2016. He is enrolled in Medicare PECOS, is affiliated with St Johns Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1871041244
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameEJAZ SHAH
Location Address315 W CARPENTER STSpringfield, IL 62702-4901
Mailing AddressPo Box 19639Springfield, IL 62794-9639 · (217) 545-8000
Sole ProprietorYes
Medical School CMSOtherGraduated 2009
Enumeration DateSeptember 14, 2016
Last NPPES UpdateApril 21, 20264 updates tracked since enumeration
NPPES CertifiedApril 21, 2026
✔ NPI 1871041244 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License✔ Licensed in IL · 036149641
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Also ListedHospitalistTaxonomy 208M00000X · License 036149641 (IL)
315 W CARPENTER ST, Springfield, IL 62702

Secondary Practice Locations 2

Location 1111 E 210th StBronx, NY 10467-2401 · Phone (929) 432-9324
Location 2800 E Carpenter StSpringfield, IL 62769 · Phone (217) 544-6464

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ejaz 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 ID9133466857
PECOS Enrollment IDI20190711000271
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.

Medicare Billing Reassignment

Medicare enrollment records show Ejaz Shah reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Endocrinology, Diabetes & Metabolism
201 E MADISON ST STE 328
Springfield, IL 62702
  • Reassigned Medicare billing, Illinois enrollment
  • 645 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 3

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

St Johns Hospital

Acute Care Hospitals · Springfield, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140053
Location800 E Carpenter StSpringfield, IL 62769 · Sangamon County
Emergency services Birthing friendly

Memorial Medical Center

Acute Care Hospitals · Springfield, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140148
Location701 N First StSpringfield, IL 62702 · Sangamon County
Emergency services Birthing friendly

Abraham Lincoln Memorial Hospital

Critical Access Hospitals · Lincoln, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number141322
Location200 Stahlhut DriveLincoln, IL 62656 · Logan County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62702 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
$168.44 typical visit price
range $54.80 – $168.44
Typical copayment $42.11 (range $13.70 – $42.11)
Most-billed visit code 99205
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

94.61/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.17
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

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

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 suppliers15 claims15 services$105.29 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.

Internal Medicine (Hematology & Oncology)
315 W CARPENTER ST
SPRINGFIELD, IL 62702
Colon & Rectal Surgery
315 W CARPENTER ST, 2 ND FLOOR
SPRINGFIELD, IL 62702
Internal Medicine (Gastroenterology)
315 W CARPENTER ST
SPRINGFIELD, IL 62702
Internal Medicine (Gastroenterology)
315 W CARPENTER ST
SPRINGFIELD, IL 62702
Nurse Practitioner (Family)
315 W CARPENTER ST, 2ND FLOOR
SPRINGFIELD, IL 62702
Thoracic Surgery (Cardiothoracic Vascular Surgery)
315 W CARPENTER ST, 2ND FLOOR
SPRINGFIELD, IL 62702
Surgery
315 W CARPENTER ST
SPRINGFIELD, IL 62702
Internal Medicine (Hematology & Oncology)
315 W CARPENTER ST, CLINIC B
SPRINGFIELD, IL 62702

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 Ejaz Shah's NPI number?

The NPI number for Ejaz Shah is 1871041244. It was assigned to this individual provider in the NPPES registry on September 14, 2016.

Where is Ejaz Shah located?

Ejaz Shah practices at 315 W Carpenter St, Springfield, IL 62702. The listed phone number is (217) 545-8000.

What is Ejaz Shah's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Ejaz Shah enrolled in Medicare?

Yes. Ejaz 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.

Which organization bills Medicare for Ejaz Shah's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ejaz Shah reassigns Medicare benefits to Siu Physicians & Surgeons, Inc (Springfield, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ejaz Shah's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Ejaz Shah affiliated with any hospitals?

According to CMS data, Ejaz Shah is affiliated with St Johns Hospital, Memorial Medical Center and Abraham Lincoln Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Ejaz Shah was last updated on April 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.