NISHA J SHAH (PA-C, DMSC) – Physician Assistant, NPI 1346951316

NISHA J SHAH (PA-C, DMSC) is a healthcare provider. based in Roselle, Illinois. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C, DMSC. They hold a License No. 085009076 (IL). The NPI Number for NISHA J SHAH (PA-C, DMSC) is 1346951316

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
NISHA J SHAH (PA-C, DMSC)
NPI
1346951316
Phone
(630) 770-2888
Address
265 CAREY DR
Enumeration Date
9 December 2022
Last Update Date
29 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6305458000
Graduation Year
2022 (4 years ago)
PAC ID
5496127243
Group Practice PAC ID
2365758224
Professional Enrollment ID
I20230206000014
Address ID
IL601391405GL701XXAVEX300
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

5,035 PHYSICIAN ASSISTANT in IL

Provider Addresses for NISHA J SHAH (PA-C, DMSC)

  • 265 CAREY DR

    ROSELLE, IL 601724908

    Phone: (630) 770-2888

    Type: Mailing

  • 911 N ELM ST STE 128

    HINSDALE, IL 605213640

    Phone: (630) 856-7460

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $304.

Total Amount is formed as General ($304) + Research ($0) + Ownership ($0) = $304.

Last reported payment date: 2024-10-15 • Largest payer in this snapshot: Nevro Corp. ($157).

Total Amount

$304

General + Research + Ownership

Payments

9

Total payment records

General Amount

$304

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-15

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: 2023-02-06

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
I20230206000014IPhysician AssistantILTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes211104$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes5958$0
View full utilization report →

Insurance plans in this area (ZIP 60172)

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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: 2365758224View full group profile
NameSpecialtyState
Diagnostic RadiologyFL
Vascular SurgeryIL
Nurse PractitionerIL
Physician AssistantIL
Interventional RadiologyIL
Vascular SurgeryIL
Vascular SurgeryIL
Vascular SurgeryIL
Physician AssistantIL
Nurse PractitionerIL

Reviews

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Frequently asked questions

What federal number belongs to NISHA J SHAH (PA-C, DMSC)?
The federal identifier for NISHA J SHAH (PA-C, DMSC) is NPI 1346951316.
Is NISHA J SHAH (PA-C, DMSC)'s NPI currently valid?
The extract we use shows NISHA J SHAH (PA-C, DMSC) as active.
What field does NISHA J SHAH (PA-C, DMSC) work in?
You can think of NISHA J SHAH (PA-C, DMSC) as practicing within Physician Assistant. Clinical services aligned with this taxonomy classification.
What location metadata exists for NISHA J SHAH (PA-C, DMSC)?
The page summarizes Roselle, Illinois for NISHA J SHAH (PA-C, DMSC); expand the address list for detail.
What if Roselle, Illinois seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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