SHIVALI SHAH (DO) – Sports Medicine (Family Medicine) Physician, NPI 1700382967
Sports Medicine (Family Medicine) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
340 SPORTS MEDICINE in IL
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Provider Addresses for SHIVALI SHAH (DO)
Euclid Avenue, Berwyn, Cook County, Illinois, 60402, United States
BERWYN, IL 60402
Phone: (708) 783-2000
Fax: (708) 783-3656
Type: Location
1157 N 300 W Ste 201
Provo, UT 846046124
Phone: (801) 357-1214
Type: Location
3231 Euclid Ave Fl 5
Berwyn, IL 60402
Phone: (708) 783-2000
Fax: (708) 783-3656
Type: Location
2180 PFINGSTEN RD STE 3100
GLENVIEW, IL 600261339
Phone: (847) 866-7846
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2022-08-17
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 |
|---|---|---|---|---|
| I20220817003389 | I | Sports Medicine | 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 |
|---|---|---|---|---|
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 164 | 164 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 142 | 119 | $0 |
| 20611 | Aspiration and/or injection of fluid large joint using ultrasound guidance | 98 | 59 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 88 | 71 | $0 |
Insurance plans in this area (ZIP 60402)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | MA | |
| Internal Medicine | VA | |
| Family Practice | GA | |
| Orthopedic Surgery | IL | |
| - | NC | |
| - | TX | |
| Internal Medicine | MA | |
| Family Practice | OR | |
| Nurse Practitioner | WA | |
| Internal Medicine | MA |
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