DR. MOUSAMI SHAH (M.D.) – Hematology & Oncology Physician, NPI 1043242860

DR. MOUSAMI SHAH (M.D.) is a healthcare provider. based in Oak lawn, Illinois. specializing in HEMATOLOGY/ONCOLOGY, INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 036110949 (IL). The NPI Number for DR. MOUSAMI SHAH (M.D.) is 1043242860

Main info

Female
26 Years Of Experience
Accepts Medicare Assignment
Name
DR. MOUSAMI SHAH (M.D.)
NPI
1043242860
Phone
(773) 881-5674
Address
4440 W 95TH ST
Enumeration Date
6 July 2006
Last Update Date
15 December 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7738815232
Graduation Year
2000 (26 years ago)
PAC ID
1153324868
Group Practice PAC ID
7810800935
Professional Enrollment ID
I20060818000436
Address ID
IL606430000CH9831XWEST300

Contacts

Secure Messaging
mshah220759@direct.myadvocateaurora.org
FHIR Endpoint
https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

727 HEMATOLOGY/ONCOLOGY in IL

Provider Addresses for DR. MOUSAMI SHAH (M.D.)

  • 4440 W 95TH ST

    OAK LAWN, IL 604532600

    Phone: (773) 881-5674

    Type: Location

  • 9831, South Western Avenue, Beverly, Chicago, Lake Township, Cook County, Illinois, 60643, United States

    CHICAGO, IL 606431740

    Phone: (773) 881-5674

    Type: Location

  • 12, Chatham Lane, Oak Brook, DuPage County, Illinois, 60523, United States

    OAK BROOK, IL 605232349

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $301.

Total Amount is formed as General ($301) + Research ($0) + Ownership ($0) = $301.

Last reported payment date: 2024-10-03 • Largest payer in this snapshot: Lilly USA, LLC ($135).

Total Amount

$301

General + Research + Ownership

Payments

7

Total payment records

General Amount

$301

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-03

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2006-08-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20060818000436IHematology/OncologyILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes286130$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes10566$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes8042$0
99213Established patient office or other outpatient visit, 20-29 minutes6859$0
36415Insertion of needle into vein for collection of blood sample3522$0
View full utilization report →

Insurance plans in this area (ZIP 60453)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7810800935View full group profile

Reviews

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Frequently asked questions

Where can patients find DR. MOUSAMI SHAH (M.D.)'s NPI?
You can confirm DR. MOUSAMI SHAH (M.D.) with NPI 1043242860; it appears in the national provider directory.
Is DR. MOUSAMI SHAH (M.D.) active in the national directory?
DR. MOUSAMI SHAH (M.D.)'s public NPI profile is in an active state.
Does DR. MOUSAMI SHAH (M.D.) list a primary specialty?
If you are matching referrals, note Hematology & Oncology Physician for DR. MOUSAMI SHAH (M.D.). Clinical services aligned with this taxonomy classification.
Where does public data place DR. MOUSAMI SHAH (M.D.)?
The snapshot lists Oak Lawn, Illinois for DR. MOUSAMI SHAH (M.D.); download NPPES for the complete set.
How can I contact DR. MOUSAMI SHAH (M.D.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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