DR. SAMIR K SHAH


Address: 2350 N Rockton Ave, Rockford, IL 61103-3600
Phone: (815) 971-2200

DR. SAMIR K SHAH (NPI# 1427072768) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1427072768
Entity Type Individual
Full Name DR. SAMIR K SHAH
Credential M.D.
Practice Address 2350 N Rockton Ave
Rockford
IL 61103-3600
Practice Telephone (815) 971-2200
Practice Fax Number 8159719097
Mailing Telephone (815) 971-2200
Mailing Fax Number 8159719097
Enumeration Date 2006-07-27
Last Update Date 2017-09-20
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207RA0000X Internal Medicine
Specialization: Adolescent Medicine
036-063403 IL Allopathic & Osteopathic Physicians
Y 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
036-063403 IL Allopathic & Osteopathic Physicians
N 207RG0300X Internal Medicine
Specialization: Geriatric Medicine
036-063403 IL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IL 036063403 05
IL BCBS 01636052 01

Other Providers SAMIR SHAH

NPI Name Taxonomy Address Enumeration
1720433451 Samir Shah General Practice 3005 Jackson Ave, Point Pleasant, WV 25550-1717 2016-05-02
1760869747 Samir Shah Pharmacist 2675 Kennedy Blvd, Apt K, Jersey City, NJ 07306-5847 2015-04-29
1992961494 Samir Rajendra Shah Plastic Surgery 737 W Washington Blvd, Unit 3007, Chicago, IL 60661-2173 2008-08-04
1447434469 Samir Suresh Shah Internal Medicine 3140 Princeton Pike Fl 2, Lawrenceville, NJ 08648-2330 2007-12-27
1710166699 Samir K Shah Pharmacist 59 N Plank Rd, Suite 2, Newburgh, NY 12550-2126 2007-10-29
1881893741 Samir Rameshchandra Shah Surgery 5803 Nw 151st St Ste 105, Miami Lakes, FL 33014-2473 2007-07-12
1457412611 Samir B Shah Dentist 469 W Base Line Rd, Rialto, CA 92376-3379 2006-12-12
1437217841 Samir S Shah Internal Medicine 220 W. Arbor Dr. Dept 8781, San Diego, CA 92103-8781 2006-12-05
1881787323 Samir Hasmukh Shah Psychiatry & Neurology 7515 Greenville Ave Ste 400, Dallas, TX 75231-3860 2006-10-02
1548377104 Samir C Shah Internal Medicine 700 Tyrone Blvd N, St Petersburg, FL 33710-7127 2006-08-23

Office Location

Street Address 2350 N ROCKTON AVE
City ROCKFORD
State IL
Zip Code 61103-3600

Providers in the same location

NPI Name Taxonomy Address Enumeration
1801899935 Dean T Fochios Orthopaedic Surgery 2350 N Rockton Ave, Rockford, IL 61103-3600 2005-05-23
1518593342 Leah Burns Physician Assistant 2350 N Rockton Ave, Rockford, IL 61103-3600 2020-03-12
1275185142 Brenda Ann Beilfuss Nurse Practitioner 2350 N Rockton Ave, Rockford, IL 61103-3600 2019-07-11
1588135529 Constance Faye Blaisdell Nurse Practitioner 2350 N Rockton Ave, Rockford, IL 61103-3600 2018-12-17
1982144762 Lu Ann Ostrander Nurse Practitioner 2350 N Rockton Ave, Rockford, IL 61103-3600 2017-02-28
1821476359 Hanna J Rakowski Nurse Practitioner 2350 N Rockton Ave, Suite 304, Rockford, IL 61103-3600 2015-05-17
1770854085 Meghan Hess Nurse Practitioner 2350 N Rockton Ave, Rockford, IL 61103-3600 2012-01-18
1578792511 Maxine Mathew Internal Medicine 2350 N Rockton Ave, Internal Medicine Dept, Rockford, IL 61103-3600 2009-07-13
1194965129 Kevin Harold Ruggles Psychiatry & Neurology 2350 N Rockton Ave, Rockford, IL 61103-3600 2009-03-04
1477726396 Spiros K. Analitis, M.d.,p.c. General Acute Care Hospital 2350 N Rockton Ave, Rockford, IL 61103-3600 2008-04-11
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1598398497 The Elitist Group Home Health Aide 2929 N Main Street, Rockford, IL 61103 2020-02-19
1972064194 Mahita Bellamkonda Student in an Organized Health Care Education/Training Program 2400 North Rockton Avenue, Rockford, IL 61103 2019-03-29
1558538967 Willows Health Center Clinic/Center 4143 Albright Lane, Rockford, IL 61103 2008-05-14
1497845135 Humaira Bari Internal Medicine 2400 N. Rockton Avenue, Rockford, IL 61103 2006-10-13
1841385242 Rachel Pawlowski Occupational Therapist 3616 N. Main Street, Rockford, IL 61103 2006-10-03
1417068438 Alicia Anne Huntley Midwife 2400 Rockton Ave, Rockford, IL 61103 2006-08-31
1639190200 Glendon Burress Pediatrics 2300 N. Rockton Ave., Rockford Health Physicians, Rockford, IL 61103 2006-07-21
1225065204 Daniel William Johnson Dentist 519 Toner Av, Rockford, IL 61103 2006-06-27
1760472898 Ronald Peter Oberfoell Anesthesiology 2400 North Rockton Ave, Rockford Health Physicians, Rockford, IL 61103 2005-10-28
1841752532 Dipti Sabharwal Student in an Organized Health Care Education/Training Program 2400 N Rockton Avenue, Rockford, IL 61103 2019-04-02
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Taxonomy Information

Taxonomy Code 207RC0000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Cardiovascular Disease

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1699775775 Rockford Cardiology Associates, Ltd Internal Medicine 444 Roxbury Road, Rockford, IL 61107-5059 2005-07-29
1508865718 Shobashalini Chokkalingam Internal Medicine 8201 E Riverside Blvd, Rockford, IL 61114-2300 2005-07-19
1194965012 Cardiovascular Institute At Osf, LLC Internal Medicine 444 Roxbury Rd, Rockford, IL 61107-5059 2009-03-05
1477704252 Mazen Hadid Internal Medicine 1340 Charles St Ste 300, Rockford, IL 61104-2200 2008-10-09
1457516965 Rehmat Ullah Sheikh Internal Medicine 1340 Charles St Ste 300, Rockford, IL 61104-2200 2008-07-23
1558577460 Xu Wang Internal Medicine 444 Roxbury Rd, Rockford, IL 61107-5059 2007-05-15
1982795894 Andrew Kotis Internal Medicine 1340 Charles St, Suite 300, Rockford, IL 61104-2200 2006-09-27
1639260508 Paul T Vaitkus Internal Medicine 1340 Charles St Ste 300, Rockford, IL 61104-2200 2006-09-27
1003910423 Prasad K. Kilaru Internal Medicine 2350 N Rockton Ave, Rockford, IL 61103-3600 2006-09-08
1760497416 Yaser Siraj Internal Medicine 1340 Charles St, Rockford, IL 61104-2200 2006-07-30
Find all providers in ROCKFORD

Competitor

Search similar providers

City ROCKFORD
Zip Code 61103

Improve Information

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Dataset Information

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.

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