PRIMARY CARE PHYSICIANS OF JOLIET SC
NPI 1912473604
Clinic/Center - Primary Care in Joliet, IL
About Primary Care Physicians Of Joliet Sc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PRIMARY CARE PHYSICIANS OF JOLIET SC (NPI 1912473604), doing business as Yatin M Shah Mdsc, is a healthcare organization registered as a primary care in Joliet, Illinois and active in the NPI registry since October 2018. The organization holds 3 active CLIA laboratory certificates, maintains 2 additional practice locations, and lists Miti G Shah, Practice Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Names 1
Secondary Practice Locations 2
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Primary Care Physicians Of Joliet Sc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
16Medicare enrollment records show 16 clinicians reassign Medicare billing to Primary Care Physicians Of Joliet Sc, which bills Medicare for the services they deliver. Of these, 7 practice at this address and 11 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 3
Clinicians, nearest first (16)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA 3
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 14D0981149
Primary Care Physicians Of Joliet S C · Joliet, ILCertificate of Waiver 14D1018473
Primary Care Physicians Of Joliet S C · Joliet, ILCertificate of Waiver 14D1018476
Primary Care Physicians Of Joliet S C · Wilmington, ILFrequently 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 Primary Care Physicians Of Joliet Sc's NPI number?
The NPI number for Primary Care Physicians Of Joliet Sc is 1912473604. It was assigned to this organization in the NPPES registry on October 19, 2018. The provider was formerly known as Yatin M Shah MDSC.
Where is Primary Care Physicians Of Joliet Sc located?
Primary Care Physicians Of Joliet Sc is located at 2025 S Chicago St Ste 1, Joliet, IL 60436. The listed phone number is (815) 726-2200.
What is Primary Care Physicians Of Joliet Sc's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Primary Care Physicians Of Joliet Sc enrolled in Medicare?
Yes. Primary Care Physicians Of Joliet Sc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Primary Care Physicians Of Joliet Sc?
According to the CMS Revalidation Reassignment List (October 2026 release), 16 clinicians in 3 Medicare specialties reassign their Medicare billing to Primary Care Physicians Of Joliet Sc. A 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 the clinician's services. The largest specialties are Nurse Practitioner (11), Internal Medicine (4) and Family Practice (1). Of these, 7 practice at this address and 11 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Primary Care Physicians Of Joliet Sc hold CLIA laboratory certificates?
Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
What insurance does Primary Care Physicians Of Joliet Sc accept?
Health plans from Ambetter Health and Ambetter Health of Delaware list Primary Care Physicians Of Joliet Sc 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.
When was this NPI record last updated?
The NPPES record for Primary Care Physicians Of Joliet Sc was last updated on October 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Primary Care Physicians Of Joliet Sc · NPI 1912473604
Primary Care organization in Joliet, Illinois. Organization record, active in the CMS NPPES registry since October 19, 2018.
## Identity
- **NPI:** 1912473604 (Entity type: Organization)
- **Enumerated:** October 19, 2018
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Also known as:** Yatin M Shah MDSC (Former Legal Business Name)
- **Organization subpart:** No
- **Authorized official:** Miti Shah, PRACTICE MANAGER
## Practice location
- **Address:** 2025 S CHICAGO ST STE 1, Joliet, IL 60436-3173
- **Phone:** (815) 726-2200 · **Fax:** (815) 582-3253
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 16 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (11), Internal Medicine (4), Family Practice (1); 7 practice at this address and 11 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 27, 2025
- **CLIA laboratory certificates:** 3 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1912473604) · Data from the CMS NPPES public registry.