POOJA V SHAH – Nurse Practitioner, NPI 1558951731

POOJA V SHAH is a healthcare provider. based in Crystal lake, Illinois. specializing in NURSE PRACTITIONER. They hold a License No. 209022712 (IL). The NPI Number for POOJA V SHAH is 1558951731

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
POOJA V SHAH
NPI
1558951731
Phone
(815) 356-0386
Address
1305 RANDALL RD
Enumeration Date
21 January 2021
Last Update Date
28 September 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8473488250
Graduation Year
2020 (6 years ago)
PAC ID
7416355771
Group Practice PAC ID
6204051899
Professional Enrollment ID
I20211018001975
Address ID
IL600160000DE9700XRDXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

11,632 NURSE PRACTITIONER in IL

Provider Addresses for POOJA V SHAH

  • 1305 RANDALL RD

    CRYSTAL LAKE, IL 600148601

    Phone: (815) 356-0386

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 17 Open Payments records for all available years, with a total value of $490.

Total Amount is formed as General ($490) + Research ($0) + Ownership ($0) = $490.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Pacira Pharmaceuticals Incorporated ($166).

Total Amount

$490

General + Research + Ownership

Payments

17

Total payment records

General Amount

$490

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

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: 2021-10-18

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
I20211018001975INurse PractitionerILTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes7856$0
99441Telephone medical discussion with physician, 5-10 minutes2219$0
View full utilization report →

Insurance plans in this area (ZIP 60014)

Loading plans...

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: 6204051899View full group profile
NameSpecialtyState
Physician AssistantIL
Family PracticeIL
Anesthesiology, Interventional Pain Management, Pain Management, Pain Management, AnesthesiologyIL
Physician AssistantIL
Nurse PractitionerIL
Anesthesiology, Pain ManagementIL
Anesthesiology, Pain ManagementIL
Pain Management, AnesthesiologyIL
Physician AssistantIL
Physical Medicine And Rehabilitation, Pain ManagementIN

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Is POOJA V SHAH listed with a National Provider Identifier?
Yes — POOJA V SHAH has NPI 1558951731 on file in the registry.
Is POOJA V SHAH still an active registrant?
POOJA V SHAH carries an active NPI according to the public dataset.
What clinical focus is listed for POOJA V SHAH?
At a glance, POOJA V SHAH is tied to Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What practice footprint exists for POOJA V SHAH?
Travel planning: use Crystal Lake, Illinois as the reference point for POOJA V SHAH, then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

Similar Providers

ASHLEY COCHRAN (F.N.P.)

Nurse Practitioner
170 NORTH LAKEWOOD ROAD
NPI: 1245239912

SANDRA JAESCHKE (CNP)

Nurse Practitioner
Crystal Lake, Willington, Tolland County, Connecticut, 06075, United States
NPI: 1003815770

VALERIE D MILBORN (CNP)

Family Nurse Practitioner
Haligus Road, Huntley, McHenry County, Illinois, 60142, United States
NPI: 1992704662
Centegra Hospital-Woodstock, 3701, Doty Road, Woodstock, McHenry County, Illinois, 60098, United States
NPI: 1942209622

JASON A CARMAN (DNP)

Family Nurse Practitioner
Crystal Lake, Willington, Tolland County, Connecticut, 06075, United States
NPI: 1174522825

CAROL PERENCHIO (NP)

Nurse Practitioner
480, East Broadway Avenue, Crystal Lake, McHenry County, Illinois, 60014, United States
NPI: 1306845789

JILL MARIE BEHM (APRN, CNP)

Nurse Practitioner
525 E CONGRESS PKWY STE 300
NPI: 1083658082

AMANDA M LAW (APRN, CNP)

Nurse Practitioner
360 Station Dr
NPI: 1558380634