DR. PRADIP SHAH (M.D.) – Emergency Medicine Physician, NPI 1891789244

Emergency Medicine Physician

DR. PRADIP SHAH (M.D.) is a healthcare provider. based in Westmont, Illinois. specializing in Emergency Medicine Physician. They hold the professional credentials M.D.. They hold a License No. 036-055221 (IL). The NPI Number for DR. PRADIP SHAH (M.D.) is 1891789244

Main info

Male

51 Years Of Experience

Name

DR. PRADIP SHAH (M.D.)

NPI

1891789244

Phone

(630) 321-8300

Address

150 QUAIL RIDGE DR

Enumeration Date

31 August 2005

Last Update Date

13 October 2020

Doctor Profile

Medical School Name

OTHER

Secondary Phone

8154325841

Graduation Year

1975 (51 years ago)

PAC ID

2163312380

Group Practice PAC ID

1456781400

Professional Enrollment ID

I20040319000166

Contacts

Secure Messaging

pradip.shah.1@15486.direct.athenahealth.com

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience64

Completeness85

Years active:20State licenses:1Other namesUpdated within 12 months

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Provider Addresses for DR. PRADIP SHAH (M.D.)

150, Quail Ridge Drive, Westmont, DuPage County, Illinois, 60559, United States
WESTMONT, IL 605596142
Phone: (630) 321-8300
Fax: (630) 321-8750
Type: Mailing
Iroquois Memorial Hospital, 200, East Fairman Avenue, Watseka, Iroquois County, Illinois, 60970, United States
WATSEKA, IL 609701644
Phone: (630) 321-8300
Fax: (630) 321-8750
Type: Location

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: 2004-03-19

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

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
I20040319000166	I	Emergency 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.

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

HCPCS	Description	Services	Beneficiaries	Medicare allowed
99285	Emergency department visit with high level of medical decision making	18	17	$0

View full utilization report →

Insurance plans in this area (ZIP 60559)

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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: 1456781400View full group profile