RAVI M. SHAH – Sports Medicine (Family Medicine) Physician, NPI 1326579103
Sports Medicine (Family Medicine) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
340 SPORTS MEDICINE in IL
Provider Addresses for RAVI M. SHAH
7543 183RD ST
TINLEY PARK, IL 604776208
Phone: (708) 263-2000
Fax: (708) 263-2023
Type: Location
7900 Rollins Rd Ste 1400
Gurnee, IL 600311512
Phone: (847) 866-7846
Fax: (847) 866-7846
Type: Location
1775, Ballard Road, Ballard, Martin County, North Carolina, 27892, United States
PARK RIDGE, IL 600681005
Phone: (847) 318-6020
Type: Mailing
7900 ROLLINS RD STE 1400
GURNEE, IL 600311512
Phone: (847) 866-7846
Fax: (847) 866-7846
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $171.
Total Amount is formed as General ($171) + Research ($0) + Ownership ($0) = $171.
Last reported payment date: 2024-07-24 • Largest payer in this snapshot: SANOFI-AVENTIS U.S. LLC ($36).
Total Amount
$171
General + Research + Ownership
Payments
8
Total payment records
General Amount
$171
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| SANOFI-AVENTIS U.S. LLC | $36 |
| Medwest Associates | $30 |
| Telix Pharmaceuticals | $27 |
| Avanos Medical | $27 |
| DePuy Synthes Sales Inc. | $19 |
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: 2022-02-02
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 |
|---|---|---|---|---|
| I20220202002005 | I | Sports Medicine | 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 |
|---|---|---|---|---|
| J7325 | Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg | 5,040 | 52 | $0 |
| 97112 | Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 785 | 26 | $0 |
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 691 | 20 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 406 | 60 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 191 | 100 | $0 |
Insurance plans in this area (ZIP 60477)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IL | |
| E N D O C R I N O L O G Y | IL | |
| N E U R O L O G Y | IL | |
| Hospitalist, Internal Medicine | IL | |
| O P H T H A L M O L O G Y | IL | |
| - | IL | |
| E N D O C R I N O L O G Y | IL | |
| Cardiovascular Disease (Cardiology), Interventional Cardiology | IL | |
| Clinical Social Worker | IL | |
| Certified Nurse Midwife (Cnm) | IL |
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