DR. JITENDRA J SHAH (MD) – Pediatric Cardiology Physician, NPI 1619061827

DR. JITENDRA J SHAH (MD) is a healthcare provider. based in Peoria, Illinois. specializing in Pediatric Cardiology Physician. They hold the professional credentials MD. They hold a License No. 036-053972 (IL). The NPI Number for DR. JITENDRA J SHAH (MD) is 1619061827

Main info

Male
56 Years Of Experience
Accepts Medicare Assignment
Name
DR. JITENDRA J SHAH (MD)
NPI
1619061827
Phone
(309) 655-3453
Address
420 NE GLEN OAK AVE
Enumeration Date
3 October 2006
Last Update Date
28 August 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3096553453
Graduation Year
1970 (56 years ago)
PAC ID
4082688072
Group Practice PAC ID
3678889789
Professional Enrollment ID
I20081010000735
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for DR. JITENDRA J SHAH (MD)

  • 420, Northeast Glen Oak Avenue, Peoria, Peoria County, Illinois, 61603, United States

    SUITE 304

    PEORIA, IL 616033105

    Phone: (309) 655-3453

    Fax: (309) 655-2938

    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 1 Open Payments records for all available years, with a total value of $111.

Total Amount is formed as General ($111) + Research ($0) + Ownership ($0) = $111.

Last reported payment date: 2023-09-15 • Largest payer in this snapshot: Abbott Laboratories ($111).

Total Amount

$111

General + Research + Ownership

Payments

1

Total payment records

General Amount

$111

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-09-15

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Abbott Laboratories$111
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.

No Medicare enrollment or revalidation data available for this provider in our database.

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 61603)

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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: 3678889789View full group profile

Reviews

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Frequently asked questions

Can I cross-check DR. JITENDRA J SHAH (MD) using NPI 1619061827?
NPI 1619061827 belongs to DR. JITENDRA J SHAH (MD); compare other details if you need extra assurance.
Is DR. JITENDRA J SHAH (MD) shown as active in public data?
Registry records indicate DR. JITENDRA J SHAH (MD) maintains an active NPI.
How would a patient describe DR. JITENDRA J SHAH (MD)'s focus?
For DR. JITENDRA J SHAH (MD), the primary taxonomy reads as Pediatric Cardiology Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. JITENDRA J SHAH (MD)?
Travel planning: use Peoria, Illinois as the reference point for DR. JITENDRA J SHAH (MD), then confirm.
When was this NPI issued?
Enumeration for DR. JITENDRA J SHAH (MD) is noted as October 3, 2006 where the registry provides it.

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