ALI SHAH M.D.
NPI 1962077347
Student in an Organized Health Care Education/Training Program in Chicago, IL

Q: What is Ali Shah's NPI number?

The NPI number for Ali Shah is 1962077347. It was assigned to this individual provider in the NPPES registry on May 26, 2021.

Q: What is Ali Shah's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Ali Shah was last updated on May 19, 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.

Active since May 26, 2021PECOS Enrolled

5841 S MARYLAND AVE # MC5100, CHICAGO, IL 60637(773) 702-3630 Get Directions Write a Review

NPPES record last updated: May 19, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 19, 2024, Feb 23, 2023, May 26, 2021 (3 updates tracked since 2021).

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About Ali Shah M.d. NPPES

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

ALI SHAH M.D. (NPI 1962077347) is an individual student in an organized health care education/training program in Chicago, Illinois and active in the NPI registry since May 2021. He is enrolled in Medicare PECOS and maintains a secondary practice location in Scranton.

NPPES Registry Identity

NPI1962077347

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameALI SHAHCredential: M.D.

Location Address5841 S MARYLAND AVE # MC5100Chicago, IL 60637-1443

Mailing Address180 Harvester Dr Ste 110Burr Ridge, IL 60527-6686 · (773) 702-1150

Phone(773) 702-3630

Sole ProprietorNo

Enumeration DateMay 26, 2021

Last NPPES UpdateMay 19, 20243 updates tracked since enumeration

NPPES CertifiedMay 19, 2024

✔ NPI 1962077347 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

5841 S MARYLAND AVE # MC5100, Chicago, IL 60637

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Secondary Practice Location 1

Location 1Wright Center Graduate Medical Education, 501 South Washington Ave, Suite 1000Scranton, PA 18505 · Phone (570) 591-5107 ext. 1021

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ali Shah M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 9

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

DR. LUIS MIGUEL SUAREZ- FERNANDEZ I MD

Internal Medicine (Hypertension Specialist)