DR. SAMIR K SHAH (M.D.) – Cardiovascular Disease Physician, NPI 1427072768
Cardiovascular Disease Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
1,594 CARDIOVASCULAR DISEASE (CARDIOLOGY) in IL
Provider Addresses for DR. SAMIR K SHAH (M.D.)
2350, North Rockton Avenue, Rockford, Winnebago County, Illinois, 61103, United States
ROCKFORD, IL 611033600
Phone: (815) 971-2200
Fax: (815) 971-9097
Type: Mailing
2350 N Rockton Ave
Rockford, IL 611033600
Phone: (815) 971-2200
Fax: (815) 971-9097
Type: Location
4600 Memorial Dr Ste 300
Belleville, IL 622265363
Phone: (618) 233-3066
Fax: (314) 996-7658
Type: Location
6810 STATE ROUTE 162 STE 102
MARYVILLE, IL 620628560
Phone: (618) 288-4076
Fax: (618) 288-4215
Type: Location
660 MASON RIDGE CENTER DR STE 300
SAINT LOUIS, MO 631418512
Phone: (314) 448-3791
Fax: (314) 996-7658
Type: Mailing
4600 MEMORIAL DR STE 300
BELLEVILLE, IL 622265363
Phone: (618) 233-3066
Fax: (314) 996-7658
Type: Location
PO BOX 959203
SAINT LOUIS, MO 631959203
Phone: (618) 288-4076
Fax: (618) 288-4215
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $46.
Total Amount is formed as General ($46) + Research ($0) + Ownership ($0) = $46.
Last reported payment date: 2024-02-06 • Largest payer in this snapshot: Daiichi Sankyo Inc. ($24).
Total Amount
$46
General + Research + Ownership
Payments
2
Total payment records
General Amount
$46
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-02-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Daiichi Sankyo Inc. | $24 |
| Lexicon Pharmaceuticals, Inc. | $22 |
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: 2006-03-28
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 |
|---|---|---|---|---|
| I20060328000253 | I | Cardiovascular Disease (Cardiology) | 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 |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 534 | 212 | $0 |
| 99306 | Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | 390 | 351 | $0 |
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 380 | 232 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 138 | 111 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 128 | 117 | $0 |
Insurance plans in this area (ZIP 61103)
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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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