DR. HASSAM SHAH – Internal Medicine Physician, NPI 1376103028
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
978 GASTROENTEROLOGY in IL
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Provider Addresses for DR. HASSAM SHAH
Fantus Health Center, 1901, West Harrison Street, Near West Side, Illinois Medical District, Chicago, Illinois Medical District, Illinois, 60612, United States
CHICAGO, IL 606123714
Phone: (312) 864-6000
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 11 Open Payments records for all available years, with a total value of $561.
Total Amount is formed as General ($561) + Research ($0) + Ownership ($0) = $561.
Last reported payment date: 2024-11-22 • Largest payer in this snapshot: Cook Medical LLC ($362).
Total Amount
$561
General + Research + Ownership
Payments
11
Total payment records
General Amount
$561
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-22
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Cook Medical LLC | $362 |
| Medtronic, Inc. | $85 |
| Takeda Pharmaceuticals U.S.A., Inc. | $41 |
| ABBVIE INC. | $28 |
| Madrigal Pharmaceuticals | $23 |
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: 2025-11-05
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20250701001326 | I | Gastroenterology | IN | TBD |
| I20251105000685 | I | Gastroenterology | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 60612)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine, Gastroenterology | IN | |
| Nurse Practitioner | IN | |
| Internal Medicine, Gastroenterology | IN | |
| - | IN | |
| Gastroenterology, Internal Medicine | IN | |
| Nurse Practitioner | IN | |
| Internal Medicine, Gastroenterology | IN | |
| Internal Medicine | IN | |
| Nurse Practitioner | IN | |
| Nurse Practitioner | IN |
Reviews
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