JAI DEVENDRA SHAH (M.D., M.B.A., M.P.H.) – Diagnostic Radiology Physician, NPI 1740439009
Diagnostic Radiology Physician
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Profile Insights
NPPES metrics only — not quality of care.
2,121 DIAGNOSTIC RADIOLOGY in IL
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Provider Addresses for JAI DEVENDRA SHAH (M.D., M.B.A., M.P.H.)
209, Peterson Road, Libertyville, Lake, Illinois, 60048, United States
LIBERTYVILLE, IL 600481005
Phone: (847) 749-0696
Fax: (847) 749-3125
Type: Mailing
29373 NETWORK PL
CHICAGO, IL 606731293
Phone: (847) 390-5900
Fax: (847) 390-4757
Type: Mailing
801 S MILWAUKEE AVE
LIBERTYVILLE, IL 600483204
Phone: (847) 362-2900
Type: Mailing
Condell Memorial Hospital, 801, South Milwaukee Avenue, Libertyville, Lake, Illinois, 60048, United States
ADVOCATE CONDELL MEDICAL CENTER - RADIOLOGY DEPARTMENT
LIBERTYVILLE, IL 600483204
Phone: (847) 990-5380
Fax: (847) 749-0696
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 13 Open Payments records for all available years, with a total value of $4,671.
Total Amount is formed as General ($4,671) + Research ($0) + Ownership ($0) = $4,671.
Last reported payment date: 2024-11-07 • Largest payer in this snapshot: TriSalus Life Sciences, Inc. ($3,533).
Total Amount
$4,671
General + Research + Ownership
Payments
13
Total payment records
General Amount
$4,671
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| TriSalus Life Sciences, Inc. | $3,533 |
| Cook Incorporated | $1,060 |
| Boston Scientific Corporation | $38 |
| W. L. Gore & Associates, Inc. | $24 |
| Bard Peripheral Vascular, Inc. | $16 |
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: 2012-02-01
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 |
|---|---|---|---|---|
| I20120201000813 | I | Diagnostic Radiology | 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 |
|---|---|---|---|---|
| 71045 | X-ray of chest, 1 view | 641 | 564 | $0 |
| 70450 | Ct scan head or brain without contrast | 273 | 258 | $0 |
| 99152 | Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes | 191 | 168 | $0 |
| 76937 | Ultrasonic guidance for blood vessel access | 115 | 98 | $0 |
| 74177 | Ct scan of abdomen and pelvis with contrast | 106 | 106 | $0 |
Insurance plans in this area (ZIP 60048)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | IL | 71010 | X-ray of chest, 1 view, front | 736 | 655 |
| DIAGNOSTIC RADIOLOGY | IL | 71250 | CT scan chest | 18 | 18 |
| DIAGNOSTIC RADIOLOGY | IL | 73110 | X-ray of wrist, minimum of 3 views | 20 | 19 |
| DIAGNOSTIC RADIOLOGY | IL | 74177 | CT scan of abdomen and pelvis with contrast | 103 | 102 |
| DIAGNOSTIC RADIOLOGY | IL | 77012 | Radiological supervision and interpretation of CT guidance for needle insertion | 17 | 17 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | IL | |
| Diagnostic Radiology | IL | |
| - | IL | |
| Diagnostic Radiology | IL | |
| Diagnostic Radiology | IL | |
| - | IL | |
| - | IL | |
| Diagnostic Radiology | IL | |
| - | IL | |
| Diagnostic Radiology | IA |
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