DR. NISHITH SHAH M.D.
NPI 1902255656
Family Medicine in Rockford, IL
About Dr. Nishith Shah M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. NISHITH SHAH M.D. (NPI 1902255656) is an individual family medicine provider in Rockford, Illinois, licensed in Illinois (036.150303) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS, is affiliated with Northwestern Medicine Mchenry, and maintains a secondary practice location in Bartlett.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Dr. Nishith Shah M.d. 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.
Medicare Billing Reassignments
2Medicare enrollment records show Nishith Shah reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Rockford, IL 61114
- Reassigned Medicare billing, Illinois enrollment
- 1,375 clinicians in this Medicare group
Carol Stream, IL 60122
- Reassigned Medicare billing, Illinois enrollment
- 1,664 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.
Areas of Expertise CMS Part B claims 4
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Northwestern Medicine Mchenry
Acute Care Hospitals · Mchenry, ILNorthwestern Medicine Delnor Community Hospital
Acute Care Hospitals · Geneva, ILNorthwestern Medicine Central Dupage Hospital
Acute Care Hospitals · Winfield, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 61114 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 3
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
ROCKFORD, IL 61114
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 Nishith Shah's NPI number?
The NPI number for Nishith Shah is 1902255656. It was assigned to this individual provider in the NPPES registry on June 3, 2016.
Where is Nishith Shah located?
Nishith Shah practices at 3401 N Perryville Rd, Rockford, IL 61114. The listed phone number is (815) 971-3610.
What is Nishith Shah's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Nishith Shah enrolled in Medicare?
Yes. Nishith 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 Nishith Shah's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nishith Shah reassigns Medicare benefits to 2 organizations: Rockford Health Physicians (Rockford, IL) and Central Dupage Physician Group (Carol Stream, 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 Nishith Shah's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Nishith Shah affiliated with any hospitals?
According to CMS data, Nishith Shah is affiliated with Northwestern Medicine Mchenry, Northwestern Medicine Delnor Community Hospital and Northwestern Medicine Central Dupage Hospital.
When was this NPI record last updated?
The NPPES record for Nishith Shah was last updated on September 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Dr. Nishith Shah, M.D. · NPI 1902255656
Family Medicine physician in Rockford, Illinois. Individual provider, active in the CMS NPPES registry since June 3, 2016.
## Identity
- **NPI:** 1902255656 (Entity type: Individual)
- **Enumerated:** June 3, 2016
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 036.150303 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 3401 N PERRYVILLE RD, Rockford, IL 61114-8011
- **Phone:** (815) 971-3610
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Rockford Health Physicians (NPI 1043242886, Rockford, IL); Central Dupage Physician Group (NPI 1033149844, Carol Stream, IL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** September 13, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1902255656) · Data from the CMS NPPES public registry.