Biraj M Shah, DDS, MD is a medicare enrolled "Oral & Maxillofacial Surgery" provider in Chicago, Illinois. He graduated from medical school in 2012 and has 12 years of diverse experience with area of expertise as Maxillofacial Surgery. He is a member of the group practice Oral And Maxilloficial Head And Neck Associates Llc, Cook County and his current practice location is
1900 W Polk St Ste 612, Chicago, Illinois. You can reach out to his office (for appointments etc.) via phone at
(312) 864-3202.
Biraj M Shah is licensed to practice in Illinois (license number 036-147405) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1669746418.
Healthcare Provider's Profile
Full Name | Biraj M Shah |
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Gender | Male |
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Speciality | Maxillofacial Surgery |
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Experience | 12 Years |
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Location | 1900 W Polk St Ste 612, Chicago, Illinois |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Biraj M Shah graduated from medical school in 2012
NPI Data:
- NPI Number: 1669746418
- Provider Enumeration Date: 02/25/2012
- Last Update Date: 01/04/2022
Medicare PECOS Information:
- PECOS PAC ID: 8628375425
- Enrollment ID: I20181204003506
Medical Identifiers
Medical identifiers for Biraj M Shah such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1669746418 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223S0112X | Dentist - Oral And Maxillofacial Surgery | 019.031724 (Illinois) | Secondary |
204E00000X | Oral & Maxillofacial Surgery | 036-147405 (Illinois) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Oral And Maxilloficial Head And Neck Associates Llc | 1951634500 | 4 |
Cook County | 2860398088 | 645 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Biraj M Shah allows following entities to bill medicare on his behalf.
Entity Name | Cook County |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1588612832 PECOS PAC ID: 2860398088 Enrollment ID: O20031209000747 |
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Entity Name | Oral And Maxilloficial Head And Neck Associates Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1821652736 PECOS PAC ID: 1951634500 Enrollment ID: O20190613000700 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Biraj M Shah is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Biraj M Shah, DDS, MD 1900 W Polk St Ste 612, Chicago, IL 60612-3723 Ph: (312) 864-3202 | Biraj M Shah, DDS, MD 1900 W Polk St Ste 612, Chicago, IL 60612 Ph: (312) 864-3202 |
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