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NIRANJAN CHAMPAKLAL SHAH MD
NPI 1871700096
Internal Medicine in Palos Heights, IL

Active since May 17, 2007PECOS EnrolledAccepts Medicare Assignment
12632 S HARLEM AVE, PALOS HEIGHTS, IL 60463(708) 587-0000 Get Directions Write a Review

NPPES record last updated: January 4, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Niranjan Champaklal Shah Md NPPES

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

NIRANJAN CHAMPAKLAL SHAH MD (NPI 1871700096) is an individual internal medicine provider in Palos Heights, Illinois, licensed in Illinois (036060894) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Advocate Trinity Hospital, and maintains a secondary practice location in Elmhurst.

NPPES Registry Identity

NPI1871700096
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameNIRANJAN CHAMPAKLAL SHAHCredential: MD
Location Address12632 S HARLEM AVEPalos Heights, IL 60463-1428
Mailing Address1151 Stanford AvenueDowners Grove, IL 60516-3349 · (630) 963-6858
Phone(708) 587-0000
Sole ProprietorNo
Medical School CMSOtherGraduated 1974
Enumeration DateMay 17, 2007
Last NPPES UpdateJanuary 4, 2022
NPPES CertifiedDecember 31, 2021
✔ NPI 1871700096 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 · 036060894
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.
12632 S HARLEM AVE, Palos Heights, IL 60463
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Secondary Practice Location 1

Location 1200 Berteau Avenue, Elmhurst Memorial HospitalElmhurst, IL 60126-1879 · Phone (630) 833-1400 · Fax (630) 782-7801

Accepted Insurance

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

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

Niranjan Champaklal 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 ID7416014428
PECOS Enrollment IDI20090318000611
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 Reassignments

3

Medicare enrollment records show Niranjan Shah reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

United Elite Hospitalists, LLC
Same address
Specialist
12632 S HARLEM AVE
Palos Heights, IL 60463
  • Reassigned Medicare billing, Illinois enrollment
  • 25 clinicians in this Medicare group
NPI 1912279050 (708) 587-0000
Saint Anthony Health Affiliates
12 mi
Multi-Specialty
4192 S ARCHER AVE
Chicago, IL 60632
  • Reassigned Medicare billing, Illinois enrollment
  • 210 clinicians in this Medicare group
NPI 1295757771 (773) 254-2222
Knd Development 59 LLC
18 mi
Hospitalist
365 E NORTH AVE
Northlake, IL 60164
  • Reassigned Medicare billing, Illinois enrollment
  • 122 clinicians in this Medicare group
NPI 1598094906 (708) 345-8100

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

Areas of Expertise CMS Part B claims

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
14 services14 patients

Hospital Affiliations CMS Care Compare

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

Advocate Trinity Hospital

Acute Care Hospitals · Chicago, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140048
Location2320 E 93rd StChicago, IL 60617 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60463 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
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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.

Other Providers at the Same Location NPPES 15

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

ALLA YAKOVLEVA APN
Nurse Practitioner (Family)
12632 S HARLEM AVE
PALOS HEIGHTS, IL 60463
Cook County (708) 587-0000
DR. ALMASRI AND ASSOCIATES INC.
Clinic/Center
12632 S HARLEM AVE
PALOS HEIGHTS, IL 60463
Cook County (708) 587-0000
ADAM MICHAEL KOST MD
Hospitalist
12632 S HARLEM AVE
PALOS HEIGHTS, IL 60463
Cook County (708) 587-0000
SAMINA S KHAN M.D.
Internal Medicine
12632 S HARLEM AVE
PALOS HEIGHTS, IL 60463
Cook County (708) 587-0000
DR. MOHAMMED B GHABRA M.D.
Psychiatry & Neurology (Neurology)
12632 S HARLEM AVE
PALOS HEIGHTS, IL 60463
Cook County (708) 587-0000
SHERLYN H. ARBOLADO MSN, APRN, AGACNP-BC
Nurse Practitioner (Gerontology)
12632 S HARLEM AVE
PALOS HEIGHTS, IL 60463
Cook County (708) 587-0000
SABIHA RAZIUDDIN DO
Family Medicine
12632 S HARLEM AVE
PALOS HEIGHTS, IL 60463
Cook County (708) 587-0000
SAMANTHA CECILE HATHAWAY M.D.
Internal Medicine
12632 S HARLEM AVE
PALOS HEIGHTS, IL 60463
Cook County (708) 587-0000

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 Niranjan Shah's NPI number?

The NPI number for Niranjan Shah is 1871700096. It was assigned to this individual provider in the NPPES registry on May 17, 2007.

Where is Niranjan Shah located?

Niranjan Shah practices at 12632 S Harlem Ave, Palos Heights, IL 60463. The listed phone number is (708) 587-0000.

What is Niranjan Shah's specialty?

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

Is Niranjan Shah enrolled in Medicare?

Yes. Niranjan 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 organizations bill Medicare for Niranjan Shah's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Niranjan Shah reassigns Medicare benefits to 3 organizations: United Elite Hospitalists, LLC (Palos Heights, IL), Saint Anthony Health Affiliates (Chicago, IL) and Knd Development 59 LLC (Northlake, IL). Each 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 Niranjan Shah's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Niranjan Shah accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Niranjan 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.

Is Niranjan Shah affiliated with any hospitals?

According to CMS data, Niranjan Shah is affiliated with Advocate Trinity Hospital.

When was this NPI record last updated?

The NPPES record for Niranjan Shah was last updated on January 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.