NIRAJ J SHAH (M.D.) – Family Medicine Physician, NPI 1134440969
Family Medicine Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
5,037 FAMILY PRACTICE in IL
Provider Addresses for NIRAJ J SHAH (M.D.)
1245 S MILL ST
PO BOX 231
NASHVILLE, IL 622632004
Phone: (618) 327-8119
Fax: (618) 327-8141
Type: Mailing
4700 MEMORIAL DR STE 210
BELLEVILLE, IL 622265373
Phone: (618) 767-7000
Type: Location
1245 S Mill St
Nashville, IL 622632004
Phone: (618) 327-8119
Fax: (618) 327-8141
Type: Location
1414 CROSS ST STE 210
SHILOH, IL 622692988
Phone: (618) 767-7000
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 265 Open Payments records for all available years, with a total value of $3,906.
Total Amount is formed as General ($3,906) + Research ($0) + Ownership ($0) = $3,906.
Last reported payment date: 2024-12-16 • Largest payer in this snapshot: ABBVIE INC. ($1,328).
Total Amount
$3,906
General + Research + Ownership
Payments
265
Total payment records
General Amount
$3,906
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $1,328 |
| PFIZER INC. | $537 |
| AstraZeneca Pharmaceuticals LP | $371 |
| Novo Nordisk Inc | $355 |
| Teva Pharmaceuticals USA, Inc. | $168 |
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: 2013-08-26
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20130826000017 | I | Family Practice | IL | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 497 | 285 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 174 | 174 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 130 | 117 | $0 |
| 83036 | Hemoglobin a1c level | 96 | 58 | $0 |
| G0009 | Administration of pneumococcal vaccine | 60 | 60 | $0 |
Insurance plans in this area (ZIP 62263)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| Physician Assistant | IL | |
| Family Practice | IL | |
| - | MO | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MO | |
| G A S T R O E N T E R O L O G Y | GA | |
| Physician Assistant | IL | |
| - | MO | |
| Gastroenterology, Gastroenterology, Internal Medicine | OH |
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