DILIP SHAH (NPI# 1215928676) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215928676 |
| Entity Type | Individual |
| Full Name | DILIP SHAH |
| Credential | MD |
| Practice Address |
17901 Governors Hwy Suite 101 Homewood IL 60430-1144 |
| Practice Telephone | 7087990180 |
| Practice Fax Number | 7087993839 |
| Mailing Telephone | 7087990180 |
| Mailing Fax Number | 7087993839 |
| Enumeration Date | 2005-11-03 |
| Last Update Date | 2008-04-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BLUE CROSS BLUE SHIELD | 21605050 | 01 |
| IL | RR MEDICARE | CB1134 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740427665 | Dilip Shah | Pharmacist | 41 W Broad St, Souderton, PA 18964-1503 | 2009-01-14 |
| 1821183112 | Dilip M Shah | Pharmacist | 18801 E 10 Mile Rd, Roseville, MI 48066-3931 | 2006-10-04 |
| 1356388524 | Dilip Shah | Specialist | 6134 S Harlem Ave, Summit, IL 60501-1625 | 2006-05-31 |
| 1588633077 | Dilip V Shah | Internal Medicine | 1140 1st St N, Suite 100, Alabaster, AL 35007-8766 | 2006-03-16 |
| 1689728040 | Dilip Amrytlal Shah | Psychiatry & Neurology | 721 Clifton Avenue, Suite 2c, Clifton, NJ 07013 | 2007-01-23 |
| 1861485930 | Dilip Kantilal Shah | Family Medicine | 1 S Greenleaf St, Suite D, Gurnee, IL 60031-3370 | 2005-08-24 |
| Street Address |
17901 GOVERNORS HWY SUITE 101 |
| City | HOMEWOOD |
| State | IL |
| Zip Code | 60430-1144 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740280114 | Biren P Shah | Obstetrics & Gynecology | 17901 Governors Hwy, Homewood, IL 60430-1144 | 2005-07-28 |
| 1477095321 | Krystal Poindexter | Nurse Practitioner | 17901 Governors Hwy, Suite 201, Homewood, IL 60430-1144 | 2016-11-09 |
| 1043683394 | Kurani Med Inc | Family Medicine | 17901 Governors Hwy, Suite 207a, Homewood, IL 60430-1144 | 2015-11-09 |
| 1720454713 | Hilda A Salgado | Physician Assistant | 17901 Governors Hwy, Suite 202, Homewood, IL 60430-1144 | 2015-08-13 |
| 1609259126 | Rao Uppuuluri, M.d.s.c. | Physician Assistant | 17901 Governors Hwy, Suite 202, Homewood, IL 60430-1144 | 2015-07-01 |
| 1497176622 | Elizabeth Kurnat | Nurse Practitioner | 17901 Governors Hwy, Homewood, IL 60430-1144 | 2013-12-13 |
| 1467883306 | Indrajit J Patel Md | Internal Medicine | 17901 Governors Hwy, Homewood, IL 60430-1144 | 2013-12-03 |
| 1609204726 | Edward M. Ruiz Dds PC | Dentist | 17901 Governors Hwy, Suite 201a, Homewood, IL 60430-1144 | 2013-10-29 |
| 1255671194 | Drugstore Max | Pharmacy | 17901 Governors Hwy, 100, Homewood, IL 60430-1144 | 2013-02-28 |
| 1790928893 | Alpha Med Physicians Group, LLC | Internal Medicine | 17901 Governors Hwy, Suite 106, Homewood, IL 60430-1144 | 2009-04-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831702307 | Sms Dental LLC | Dentist | 17727 Halsted St, Homewood, IL 60430 | 2020-08-25 |
| 1619431020 | Jewish Child and Family Services | Clinic/Center | 1800 Ridge Road, Unit 204, Suite 4, Homewood, IL 60430 | 2019-01-30 |
| 1437636966 | Miracle Healthcare LLC | Clinic/Center | 2024 Hickory Rd Ste 306, Homewood, IL 60430 | 2018-07-26 |
| 1518443381 | Elizabeth Carol Rodgers | Developmental Therapist | 2820 Willow Rd, Homewood, IL 60430 | 2018-07-16 |
| 1114431764 | Kyla Shaneek O'neal | Counselor | 935 175th St Ste 300, Homewood, IL 60430 | 2017-11-17 |
| 1699221986 | Visionworks Inc | Eyewear Supplier (Equipment, not the service) | 17723 S Halsted St, Homewood, IL 60430 | 2016-08-28 |
| 1528420155 | Nathan Patrick Lagacy | Counselor | 3650 W. 183rd St., Homewood, IL 60430 | 2016-03-23 |
| 1891175725 | Quaneta Gates | Homeopath | 18216 Harwood Ave Unit 1 S, Homewood, IL 60430 | 2015-06-05 |
| 1164817334 | Shachi Pandya | Family Medicine | 18350 Kedzie Ave Ste 101, Homewood, IL 60430 | 2015-04-03 |
| 1790182327 | Floss Dental Care LLC | Preferred Provider Organization | 18650 Dixie Highway, Homewood, IL 60430 | 2014-11-25 |
| Find all providers in zip 60430 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619118049 | South Suburban Cardiology | Internal Medicine | 17901 Governors Hwy, Suite 101, Homewood, IL 60430-1146 | 2009-03-16 |
| 1871574863 | South Suburban Cardiology Ltd | Internal Medicine | 17901 Governors Hwy, Suite 101, Homewood, IL 60430-1144 | 2005-11-08 |
| 1790776250 | Reza Haghighat | Internal Medicine | 17901 Governors Hwy, Suite 101, Homewood, IL 60430-1144 | 2005-11-03 |
| 1508857061 | Imtiaz Hamid | Internal Medicine | 17901 Governors Hwy, Suite 101, Homewood, IL 60430-1144 | 2005-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528596350 | Stat Cardiologist Inc | Internal Medicine | 2425 W 22nd St Ste 209, Oak Brook, IL 60523-4655 | 2017-05-24 |
| 1306296074 | Safwan Gaznabi | Internal Medicine | Northshore University Healthsystem, Office of Academic Affairs 2650 Ridge Ave., Suite 1304, Evanston, IL 60201 | 2016-06-14 |
| 1154796290 | Ray Jean Pensinger | Internal Medicine | 105 S. Fleming Rd., Woodstock, IL 60098-7903 | 2015-12-01 |
| 1073905311 | Cardio Medical Center Sc | Internal Medicine | 7746 West Madison Ave, Forrest Park, IL 60131 | 2015-02-24 |
| 1427457399 | Charles Joseph Frahm | Internal Medicine | 1200 E Madison Park, Chicago, IL 60615-2961 | 2014-08-17 |
| 1225447725 | Jeremy R. Estrada | Internal Medicine | 5841 S Maryland Ave # Mc5841, Chicago, IL 60637-1447 | 2014-08-08 |
| 1285049197 | Nidhi Madan | Internal Medicine | 1717 W Congress Pkwy Ste 317, Chicago, IL 60612 | 2014-06-30 |
| 1295159184 | Ca Group, LLC | Internal Medicine | 4017 Illinois Route 159, Suite 101, Smithton, IL 62285 | 2014-02-12 |
| 1457788424 | Chicago Vascular Clinic Ltd | Internal Medicine | 812 E Woodfield Rd, Schaumburg, IL 60173-4714 | 2013-10-04 |
| 1942634688 | Vein Md Consultants, LLC | Internal Medicine | 1865 N. Eltnor Blvd., West Chicago, IL 60185-5900 | 2013-08-29 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.