DR. NEIL B SHAH (D.O.) – Emergency Medical Services (Emergency Medicine) Physician, NPI 1093074916

DR. NEIL B SHAH (D.O.) is a healthcare provider. based in Olympia fields, Illinois. specializing in EMERGENCY MEDICINE. They hold the professional credentials D.O.. They hold a License No. 036139438 (IL). The NPI Number for DR. NEIL B SHAH (D.O.) is 1093074916

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
DR. NEIL B SHAH (D.O.)
NPI
1093074916
Phone
(708) 747-4000
Address
20201 CRAWFORD AVE
Enumeration Date
12 May 2012
Last Update Date
22 January 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8478432000
Graduation Year
2012 (14 years ago)
PAC ID
7810293008
Group Practice PAC ID
3274793633
Professional Enrollment ID
I20160315000988
Address ID
IL601691019HO1555XRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

2,845 EMERGENCY MEDICINE in IL

Provider Addresses for DR. NEIL B SHAH (D.O.)

  • 20201 CRAWFORD AVE

    OLYMPIA FIELDS, IL 604611010

    Phone: (708) 747-4000

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $53.

Total Amount is formed as General ($53) + Research ($0) + Ownership ($0) = $53.

Last reported payment date: 2024-07-12 • Largest payer in this snapshot: Inari Medical, Inc. ($53).

Total Amount

$53

General + Research + Ownership

Payments

2

Total payment records

General Amount

$53

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-12

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Inari Medical, Inc.$53
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: 2016-03-15

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
I20160315000988IEmergency MedicineILTBD

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
99285Emergency department visit with high level of medical decision making150148$0
93042Electrocardiogram (ecg) 1 to 3 leads with review by physician only7878$0
99291Critical care, first 30-74 minutes7574$0
99284Emergency department visit with moderate level of medical decision making4242$0
View full utilization report →

Insurance plans in this area (ZIP 60461)

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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: 3274793633View full group profile
NameSpecialtyState
Nurse PractitionerIL
Emergency MedicineIL
Emergency MedicineMI
Nurse PractitionerIL
-IL
Emergency MedicineWI
Emergency MedicinePA
Emergency MedicineCA
Nurse PractitionerIL
Emergency MedicineIL

Reviews

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Frequently asked questions

What is the registry number for DR. NEIL B SHAH (D.O.)?
The registry entry for DR. NEIL B SHAH (D.O.) shows NPI 1093074916.
Quick check: is DR. NEIL B SHAH (D.O.) active?
Public NPPES data shows DR. NEIL B SHAH (D.O.) with an active NPI status right now.
Which specialty label fits DR. NEIL B SHAH (D.O.)?
NPPES ties DR. NEIL B SHAH (D.O.) to Emergency Medical Services (Emergency Medicine) Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Can patients visit DR. NEIL B SHAH (D.O.) in Olympia Fields, Illinois?
For routing, start with Olympia Fields, Illinois for DR. NEIL B SHAH (D.O.), then verify phone and hours locally.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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