1. Home
  2. Directory
  3. Illinois
  4. Rockford
  5. Family Medicine
  6. NPI Profile

DR. NISHITH SHAH M.D.
NPI 1902255656
Family Medicine in Rockford, IL

Active since June 03, 2016PECOS EnrolledAccepts Medicare Assignment
3401 N PERRYVILLE RD, ROCKFORD, IL 61114(815) 971-3610 Get Directions Write a Review

NPPES record last updated: September 13, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 13, 2024, Jan 19, 2022 (2 updates tracked since 2022).

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

NPI1902255656
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. NISHITH SHAHCredential: M.D.
Location Address3401 N PERRYVILLE RDRockford, IL 61114-8011
Mailing Address820 Rte 59 Ste ABartlett, IL 60103-1300 · (630) 483-5930 · Fax (630) 483-5939
Phone(815) 971-3610
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJune 3, 2016
Last NPPES UpdateSeptember 13, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2024
✔ NPI 1902255656 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IL · 036.150303
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3401 N PERRYVILLE RD, Rockford, IL 61114
Open in Google Maps ↗

Secondary Practice Location 1

Location 1820 Rte 59 Ste ABartlett, IL 60103-1300 · Phone (630) 483-5930 · Fax (630) 483-5939

Medicare Participation & PECOS CMS

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

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.

PECOS PAC ID143563056
PECOS Enrollment IDI20190823001437
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.

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
193 services127 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
113 services113 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
106 services87 patients
Smoking and tobacco use intensive counseling, 4-10 minutes 99406
This service provides brief, intensive counseling (4-10 minutes) to support you in quitting smoking or tobacco use. It involves discussing the risks of tobacco use, benefits of quitting, and strategies to help you stop. It's a critical step towards a healthier lifestyle.
27 services17 patients

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, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140116
Location4201 Medical Center DriveMchenry, IL 60050 · Mc Henry County
Emergency services Birthing friendly

Northwestern Medicine Delnor Community Hospital

Acute Care Hospitals · Geneva, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140211
Location300 Randall RdGeneva, IL 60134 · Kane County
Emergency services Birthing friendly

Northwestern Medicine Central Dupage Hospital

Acute Care Hospitals · Winfield, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140242
Location25 North Winfield RoadWinfield, IL 60190 · Du Page County
Emergency services Birthing friendly

Physician 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.

New Patient
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
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.

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
10 suppliers16 claims52 services$5.34 avg. paid by Medicare
Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4034
Other-Enteral and Parenteral · category OB006N
1 supplier11 claims326 services$3.11 avg. paid by Medicare
Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152
Other-Enteral and Parenteral · category OB006N
1 supplier11 claims4,686 services$0.32 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.

TRACY LARKINS MUHAMMAD MD
Hospitalist
3401 N PERRYVILLE RD
ROCKFORD, IL 61114
Winnebago County (815) 971-2000
DR. RAJU M SHANMUGAM MD
Family Medicine
3401 N PERRYVILLE RD
ROCKFORD, IL 61114
Winnebago County (815) 971-2000
MICHELLE LEE CLEVELAND NP
Nurse Practitioner (Adult Health)
3401 N PERRYVILLE RD, SUITE 303
ROCKFORD, IL 61114
Winnebago County (815) 971-1060
LISA A ANGEL PT
Physical Therapist
3401 N PERRYVILLE RD, PHYSICAL THERAPY DEPT
ROCKFORD, IL 61114
Winnebago County (815) 971-2000
ADAM SOLIMAN MD
Otolaryngology
3401 N PERRYVILLE RD
ROCKFORD, IL 61114
Winnebago County (815) 971-2000
LUCY MARTIN
Nurse Practitioner
3401 N PERRYVILLE RD
ROCKFORD, IL 61114
Winnebago County (815) 971-2000
TRACY C BRITO M.D.
Phlebology
3401 N PERRYVILLE RD
ROCKFORD, IL 61114
Winnebago County (815) 971-2000
NICOLE M MOORE APN
Nurse Practitioner (Family)
3401 N PERRYVILLE RD
ROCKFORD, IL 61114
Winnebago County (815) 971-2000

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.

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 22 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.