DR. HAMZA SHAH (OD, MS) – Optometrist, NPI 1114630050

DR. HAMZA SHAH (OD, MS) is a healthcare provider. based in Evanston, Illinois. specializing in OPTOMETRY. They hold the professional credentials OD, MS. They hold a License No. 046011711 (IL). The NPI Number for DR. HAMZA SHAH (OD, MS) is 1114630050

Main info

Male
4 Years Of Experience
Accepts Medicare Assignment
Name
DR. HAMZA SHAH (OD, MS)
NPI
1114630050
Phone
(312) 278-5254
Address
814 FOREST AVE APT 2E
Enumeration Date
5 January 2023
Last Update Date
5 January 2023

Doctor Profile

Medical School Name
ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Secondary Phone
7137432020
Graduation Year
2022 (4 years ago)
PAC ID
7113463621
Group Practice PAC ID
6901896356
Professional Enrollment ID
I20240720000143
Address ID
TX772042020HO4901XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

1,715 OPTOMETRY in IL

Provider Addresses for DR. HAMZA SHAH (OD, MS)

  • 814 FOREST AVE APT 2E

    EVANSTON, IL 602022414

    Phone: (312) 278-5254

    Type: Mailing

  • 5301 N CLARK ST

    CHICAGO, IL 606402113

    Phone: (773) 944-1039

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 38 Open Payments records for all available years, with a total value of $1,890.

Total Amount is formed as General ($1,890) + Research ($0) + Ownership ($0) = $1,890.

Last reported payment date: 2024-09-10 • Largest payer in this snapshot: Mallinckrodt Hospital Products Inc. ($574).

Total Amount

$1,890

General + Research + Ownership

Payments

38

Total payment records

General Amount

$1,890

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-10

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: 2024-07-20

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
I20240720000143IOptometryTXTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60202)

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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: 6901896356View full group profile
NameSpecialtyState
O P T O M E T R YTX
O P H T H A L M O L O G YTX
O P T O M E T R YTX
O P T O M E T R YTX
O P H T H A L M O L O G YTX
-TX
O P T O M E T R YTX
O P H T H A L M O L O G YKY
-TX
-TX

Reviews

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Frequently asked questions

Is DR. HAMZA SHAH (OD, MS) listed with a National Provider Identifier?
Yes — DR. HAMZA SHAH (OD, MS) has NPI 1114630050 on file in the registry.
Is DR. HAMZA SHAH (OD, MS) still an active registrant?
DR. HAMZA SHAH (OD, MS) carries an active NPI according to the public dataset.
How would a patient describe DR. HAMZA SHAH (OD, MS)'s focus?
For DR. HAMZA SHAH (OD, MS), the primary taxonomy reads as Optometrist. Clinical services aligned with this taxonomy classification.
Is DR. HAMZA SHAH (OD, MS) associated with Evanston?
Public fields place DR. HAMZA SHAH (OD, MS) around Evanston, Illinois. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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