SURESH SHAH (NPI# 1518040617) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518040617 |
| Entity Type | Individual |
| Full Name | SURESH SHAH |
| Credential | MD |
| Practice Address |
8012 S Crandon Ave Suite 100 Chicago IL 60617-1124 |
| Mailing Address |
88 Silo Ridge Rd W Orland Park IL 60467-7331 |
| Practice Telephone | 7733565415 |
| Mailing Telephone | 7084608605 |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2015-03-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 036-064403 | IL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679640387 | Suresh S Shah | Internal Medicine | 269 Berkeley Way, Monroeville, PA 15146-2847 | 2006-11-29 |
| 1629097472 | Suresh Hirji Shah | Family Medicine | 1235 Indian Trail Lilburn Rd, Norcross, GA 30093-4502 | 2006-07-19 |
| 1609807965 | Suresh N Shah | Pediatrics | 300b Princeton Hightstown Rd, Suite #201, East Windsor, NJ 08520-1411 | 2006-07-05 |
| Street Address |
8012 S CRANDON AVE SUITE 100 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60617-1124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053391359 | South Shore Hospital Corporation | General Acute Care Hospital | 8012 S Crandon Ave, Finance Department, Chicago, IL 60617-1124 | 2006-01-20 |
| 1871190827 | Chicago Pain Medicine Center | Durable Medical Equipment & Medical Supplies | 8012 S Crandon Ave, Chicago, IL 60617-1124 | 2020-10-02 |
| 1174006217 | Advanced Imaging Services, LLC | Radiology | 8012 S Crandon Ave, Chicago, IL 60617-1124 | 2018-09-14 |
| 1649782772 | Art of Pain Co | Anesthesiology | 8012 S Crandon Ave, Chicago, IL 60617-1124 | 2017-10-30 |
| 1710406715 | Steven R. Greenwald Md Sc | Anesthesiology | 8012 S Crandon Ave, Chicago, IL 60617-1124 | 2017-09-12 |
| 1730632043 | Mount Sinai Community Foundation | Internal Medicine | 8012 S Crandon Ave, Chicago, IL 60617-1124 | 2016-08-03 |
| 1194120337 | Kathleen Powell | Registered Nurse | 8012 S Crandon Ave, Rm. 318, Chicago, IL 60617-1124 | 2014-10-30 |
| 1225479470 | South Shore Hospital Corporation | Dietitian, Registered | 8012 S Crandon Ave, Chicago, IL 60617-1124 | 2013-07-16 |
| 1689935397 | South Shore Hospital Corporation | Psychiatric Unit | 8012 S Crandon Ave, Chicago, IL 60617-1124 | 2012-05-30 |
| 1346498292 | Arpit Suresh Shah | Internal Medicine | 8012 S Crandon Ave, Suite 100, Chicago, IL 60617-1124 | 2008-09-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871102921 | Manuel Lule | Physical Therapy Assistant | 9535 S Jeffery Boulevard, Chicago, IL 60617 | 2020-07-24 |
| 1083253546 | Vanaja Thotten | Internal Medicine | 8012 S.crandon Ave, Chicago, IL 60617 | 2020-01-02 |
| 1427527365 | Stony Island Dental PC | Dentist | 1600 E 93rd Street, Chicago, IL 60617 | 2018-11-21 |
| 1871060301 | Tamika Nicole Whitehead | Social Worker | 2822 East 83rd Street, Chicago, IL 60617 | 2018-11-02 |
| 1528543774 | Felicia Nwankwo | Nurse Practitioner | 2822 E 83rd Street Bradond Famiy Health Cener, Chicago, IL 60617 | 2018-10-03 |
| 1972099307 | David Phan | Optometrist | 1753 E 95th St Ste B-100, Chicago, IL 60617 | 2018-07-09 |
| 1831607340 | Pamela Evette Ewing | Counselor | 9145 S. Merrill Ave, Chicago, IL 60617 | 2018-01-18 |
| 1366976631 | Ali Mostafa Serhal | Radiology | 240 E. Huron St, Suite 1-203, Chicago, IL 60617 | 2017-04-13 |
| 1447784921 | 1915-25 95th St., LLC | Clinic/Center | 1915 E 95th St, Chicago, IL 60617 | 2017-04-12 |
| 1881140408 | Yeferson Laverde | Social Worker | 3062 East 31st, Chicago, IL 60617 | 2016-09-01 |
| Find all providers in zip 60617 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053911495 | Moataz Barkat | Family Medicine | 3315 W 66th Pl, Chicago, IL 60629-3427 | 2020-10-26 |
| 1558976589 | Jasmine Ashley Fowler | Family Medicine | 2416 N Lotus Ave, Chicago, IL 60639-1435 | 2020-09-15 |
| 1720699176 | Healing Hands Resource Center Streator | Family Medicine | 2128 S Central Park Ave, Chicago, IL 60623-3113 | 2020-08-10 |
| 1285251892 | Soe Lwin Oo | Family Medicine | 1625 E 75th St # 1, Chicago, IL 60649-3603 | 2020-06-30 |
| 1124645700 | Timothy Alan Williams Jr. | Family Medicine | 1625 E 75th St Fl 1, Chicago, IL 60649-3603 | 2020-06-30 |
| 1194340026 | Kaysha Lynne Ribao | Family Medicine | 2116 S Springfield Ave, Chicago, IL 60623-2465 | 2020-06-16 |
| 1932724341 | Toni Kurian | Family Medicine | 1550 S Indiana Ave Apt 407, Chicago, IL 60605-4822 | 2020-06-11 |
| 1528689486 | Thurman J Robertson | Family Medicine | 1950 W. Polk Street, 7th Floor, Chicago, IL 60612-3714 | 2020-05-01 |
| 1629697297 | Lyndsey Danielle Johnson | Family Medicine | 2804 W Walton St, Chicago, IL 60622-4450 | 2020-04-13 |
| 1730708884 | Iruoma Genevieve Nwangwu | Family Medicine | 1950 W Polk Street, Chicago, IL 60612-3714 | 2020-04-09 |
| Find all providers in CHICAGO | ||||
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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.