DR. SHIVANI PANKAJ SHAH (NPI# 1255591632) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255591632 |
| Entity Type | Individual |
| Full Name | DR. SHIVANI PANKAJ SHAH |
| Credential | MD |
| Practice Address |
12 Salt Creek Ln Suite 106 Hinsdale IL 60521-8605 |
| Practice Telephone | 6308562731 |
| Practice Fax Number | 6303230260 |
| Mailing Telephone | 6308562731 |
| Mailing Fax Number | 6303230260 |
| Enumeration Date | 2008-06-10 |
| Last Update Date | 2013-02-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0205X |
Pediatrics Specialization: Pediatric Endocrinology |
036120677 | IL | Allopathic & Osteopathic Physicians |
| N | 282NC2000X |
General Acute Care Hospital Specialization: Children |
036.120677 | IL | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICARE GROUP PTAN | 399980 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194341024 | Shivani Shah | Behavior Technician | 21666 Redwood Rd Ste D, Castro Valley, CA 94546-6445 | 2020-06-16 |
| 1467811851 | Shivani Shah | Dental Hygienist | 937 Willow Bridge Dr, Folsom, CA 95630-7839 | 2016-02-15 |
| 1245579226 | Shivani S Shah | Pediatrics | 135 Canal St Ste 200, Staten Island, NY 10304 | 2013-02-11 |
| 1184962391 | Shivani Shah | Pharmacist | 4773 Whitworth Pl S, Unit M102, Renton, WA 98055-8356 | 2013-01-22 |
| 1982837779 | Shivani Shah | Internal Medicine | 100 Spalding Dr Ste 202, Naperville, IL 60540-6552 | 2009-08-27 |
| 1306452289 | Shivani R Shah | Dentist | 1355 N Galena Ave, Dixon, IL 61021-1009 | 2020-09-16 |
| 1780204719 | Shivani Vijay Shah | Student in an Organized Health Care Education/Training Program | 150 55th St, Brooklyn, NY 11220-2508 | 2020-04-20 |
| 1851929269 | Shivani V Shah | Student in an Organized Health Care Education/Training Program | 2301 Erwin Rd, Durham, NC 27705-4699 | 2020-03-31 |
| 1891331328 | Shivani Shah | Pharmacist | 1603 Washington St, Boston, MA 02118-1951 | 2019-11-19 |
| 1386206381 | Shivani Shah | Physician Assistant | 9500 Euclid Ave, Cleveland, OH 44195 | 2019-07-01 |
| Street Address |
12 SALT CREEK LN SUITE 106 |
| City | HINSDALE |
| State | IL |
| Zip Code | 60521-8605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053312421 | Daniel Joseph Morrill | Physical Therapist | 12 Salt Creek Ln, Suite 105, Hinsdale, IL 60521-8605 | 2005-08-09 |
| 1922433051 | Adventist Health Partners, Inc | Family Medicine | 12 Salt Creek Ln, Suite 106, Hinsdale, IL 60521-8605 | 2013-09-09 |
| 1255673919 | Erin L Downes | Physician Assistant | 12 Salt Creek Ln, Suite 425, Hinsdale, IL 60521-8605 | 2013-03-20 |
| 1386904233 | Brianna Young | Audiologist | 12 Salt Creek Ln, Suite 106, Hinsdale, IL 60521-8605 | 2012-05-25 |
| 1760768121 | Adventist Health Partners, Inc | Pediatrics | 12 Salt Creek Ln, Ste 106, Hinsdale, IL 60521-8605 | 2011-10-31 |
| 1093017626 | Adventist Health Partners, Inc | Otolaryngology | 12 Salt Creek Ln, Ste 106, Hinsdale, IL 60521-8605 | 2010-12-02 |
| 1417258781 | Good Hope Behavioral Health | Clinic/Center | 12 Salt Creek Ln, Suite 405, Hinsdale, IL 60521-8605 | 2010-11-03 |
| 1922186139 | Hinsdale Sport and Spine Therapy | Physical Therapist | 12 Salt Creek Ln, Suite 105, Hinsdale, IL 60521-8605 | 2006-11-02 |
| 1679659387 | Wafik A Hanna | Specialist | 12 Salt Creek Ln, Suite 225, Hinsdale, IL 60521-8605 | 2006-10-27 |
| 1073628046 | Hinsdale Gastroenterology Associates, Sc | Internal Medicine | 12 Salt Creek Ln, Suite 425, Hinsdale, IL 60521-8605 | 2006-08-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386256170 | Infinity Yoga LLC | Counselor | 702 Mills St, Hinsdale, IL 60521 | 2020-08-21 |
| 1427696855 | Anne Didier | Nurse Practitioner | 40 South Clay St., Suite 200, West Building, Hinsdale, IL 60521 | 2019-12-16 |
| 1619469244 | Rush Oak Brook Surgery Center, LLC | Clinic/Center | 2011 York Road, Suite 3000, Oak Brook, IL 60521 | 2018-05-30 |
| 1639680275 | Kelly M Lyell | Psychologist | 950 S Oak St, Hinsdale, IL 60521 | 2017-10-23 |
| 1386169720 | Elizabeth Ann Thorsness | Counselor | 412 East Fourth St., Hinsdale, IL 60521 | 2017-08-07 |
| 1275057424 | Bryndal Nicole Chervinko | Audiologist | 908 North Elm Street, Suite 306, Hinsdale, IL 60521 | 2017-07-31 |
| 1972038990 | Carolyn M Ball | Counselor | 19 N Grant St Ste 2c, Hinsdale, IL 60521 | 2017-04-27 |
| 1710429964 | Smiling Star Speech & Language | Speech-Language Pathologist | 120 E Odgen Avenue, Suite 110, Hinsdale, IL 60521 | 2016-11-04 |
| 1972964773 | Sharon Grob Murphy | Psychologist | 728 S. Park Ave., Hinsdale, IL 60521 | 2016-03-08 |
| 1992187074 | Matthew Destefani | Emergency Medicine | 109 Symonds Dr # 578, Hinsdale, IL 60521 | 2015-06-24 |
| Find all providers in zip 60521 | ||||
| Taxonomy Code | 2080P0205X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Endocrinology |
| A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760768121 | Adventist Health Partners, Inc | Pediatrics | 12 Salt Creek Ln, Ste 106, Hinsdale, IL 60521-8605 | 2011-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396163671 | Mary Mccauley | Pediatrics | 5841 S Maryland Ave # Mc5053, Chicago, IL 60637-1447 | 2014-04-02 |
| 1891137394 | Ahmed Mohamed Torky | Pediatrics | 301 N 8th St Ste 3a169, Springfield, IL 62701-1041 | 2013-07-24 |
| 1790068872 | Stuart Roy Kupfer | Pediatrics | 1 Takeda Pkwy, Deerfield, IL 60015-5713 | 2011-09-24 |
| 1780983163 | Magdalena Dumin | Pediatrics | 1675 Dempster St Fl 2, Park Ridge, IL 60068 | 2011-03-24 |
| 1447261524 | Jennifer Lynn Miller | Pediatrics | 6501 S Promontory Dr, Chicago, IL 60649-1003 | 2006-08-11 |
| 1710955885 | Sue E Sauder | Pediatrics | 507 E Armstrong, Regional Development Center, Peoria, IL 61603 | 2006-03-14 |
| 1962939579 | Apoorva Aekka | Pediatrics | 225 E Chicago Ave # 54, Chicago, IL 60611-2991 | 2017-05-12 |
| 1659740033 | Presence Hospitals Prv | Pediatrics | 301 Madison St, Suite 302, Joliet, IL 60435-6549 | 2015-09-16 |
| 1891058830 | Michelle Blanco Lemelman | Pediatrics | 5841 S Maryland Ave, Chicago, IL 60637-1447 | 2012-06-22 |
| 1972891216 | Juan Jose Lado | Pediatrics | 225 E Chicago Ave, Chicago, IL 60611 | 2011-07-20 |
| 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.