Krupa Mahesh Shah (NPI# 1174968846, PAC ID# 7012252760) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GASTROENTEROLOGY.
| Nation Provider ID (NPI) | 1174968846 |
| PAC ID by PECOS | 7012252760 |
| Professional Enrollment ID | I20190516001681 |
| Full Name | Krupa Mahesh Shah |
| Organization Legal Name | DIGESTIVE DISEASES CONSULTANTS OF KANKAKEE SC |
| Address |
1890 Sivercross Blvd Suite 215 New Lenox IL 60451 |
| Phone Number | 8159375200 |
| Gender | F |
| Medical School | LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 2013 |
| Primary Specialty | GASTROENTEROLOGY |
| Group Practice PAC ID | 3476543646 |
| Number of Group Practice Members | 14 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140186 | RIVERSIDE MEDICAL CENTER |
| 140213 | SILVER CROSS HOSPITAL AND MEDICAL CENTERS |
| 140155 | PRESENCE ST MARYS HOSPITAL |
| 140242 | CENTRAL DUPAGE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1615 N Convent, Suite 1, Bourbonnais, IL 60914-1081 | 8159375200 | DIGESTIVE DISEASES CONSULTANTS OF KANKAKEE SC |
| 1890 Sivercross Blvd, Suite 215, New Lenox, IL 60451 | 8159375200 | DIGESTIVE DISEASES CONSULTANTS OF KANKAKEE SC |
| Organization Legal Name | DIGESTIVE DISEASES CONSULTANTS OF KANKAKEE SC |
| Physicians | 14 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Katrina Schabacker | Nurse Practitioner | Digestive Diseases Consultants of Kankakee Sc | 1615 N Convent, Suite 1, Bourbonnais, IL 60914-1081 |
| Melissa A Rivette | Nurse Practitioner | Digestive Diseases Consultants of Kankakee Sc | 1890 Sivercross Blvd, Suite 215, New Lenox, IL 60451 |
| Matthew Kaplan | Gastroenterology | Digestive Diseases Consultants of Kankakee Sc | 1900 Silver Cross Blvd, New Lenox, IL 60451-9509 |
| Edward James Jurkovic | Gastroenterology | Digestive Diseases Consultants of Kankakee Sc | 350 N Wall St, Kankakee, IL 60901-2901 |
| Brian Charles Sasso | Internal Medicine | Digestive Diseases Consultants of Kankakee Sc | 1900 Silver Cross Blvd, New Lenox, IL 60451-9509 |
| Nikhil Bhargava | Gastroenterology | Digestive Diseases Consultants of Kankakee Sc | 1615 N Convent, Suite 1, Bourbonnais, IL 60914-1081 |
| Jamie Slade | Pathology | Digestive Diseases Consultants of Kankakee Sc | 1615 N Convent, Suite 1, Bourbonnais, IL 60914-1081 |
| David B Sutherland | Gastroenterology | Digestive Diseases Consultants of Kankakee Sc | 1615 N Convent, Suite 1, Bourbonnais, IL 60914-1081 |
| Daniel Errampalli | Gastroenterology | Digestive Diseases Consultants of Kankakee Sc | 1615 N Convent, Suite 1, Bourbonnais, IL 60914-1081 |
| Thomas L Oconnor | Gastroenterology | Digestive Diseases Consultants of Kankakee Sc | 1615 N Convent, Suite 1, Bourbonnais, IL 60914-1081 |
| Street Address |
1890 SIVERCROSS BLVD SUITE 215 |
| City | NEW LENOX |
| State | IL |
| Zip | 60451 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melissa A Rivette | Nurse Practitioner | Digestive Diseases Consultants of Kankakee Sc | 1890 Sivercross Blvd, Suite 215, New Lenox, IL 60451 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven A Bubanko | Optometry | New Lenox Family Eyecare Ltd | 1230 N Cedar Rd, Suite A, New Lenox, IL 60451-1202 |
| Eric J Petecki | Optometry | New Lenox Family Eyecare Ltd | 1230 N Cedar Rd, Suite A, New Lenox, IL 60451-1202 |
| Deepake Bakane | Internal Medicine | 100 Batson Ct, New Lenox, IL 60451-1564 | |
| Rajasekhar Kolla | Family Medicine | 100 Batson Ct, Suite 204, New Lenox, IL 60451-1571 | |
| Michael L Veerman | Chiropractic | Mvp Chiropractic, LLC | 313 W Maple St, New Lenox, IL 60451-1633 |
| Stephen J Smitherman | Chiropractic | Mvp Chiropractic, LLC | 313 W Maple St, New Lenox, IL 60451-1633 |
| Gretchen Martinez Feliciano | Chiropractic | Mvp Chiropractic, LLC | 313 W Maple St, New Lenox, IL 60451-1633 |
| Molly J Carey | Chiropractic | Mvp Chiropractic, LLC | 313 W Maple St, New Lenox, IL 60451-1633 |
| Ariana A Brosco | Chiropractic | Mvp Chiropractic, LLC | 313 W Maple St, New Lenox, IL 60451-1633 |
| John Culp | Chiropractic | Mvp Chiropractic, LLC | 313 W Maple St, New Lenox, IL 60451-1633 |
| Find all physicians in zip 60451 | |||
| City | NEW LENOX |
| Zip Code | 60451 |
| Specialty | GASTROENTEROLOGY |
| City + Specialty | NEW LENOX + GASTROENTEROLOGY |
Please comment or provide details below to improve the information on Krupa Mahesh Shah.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.