Mr Kumudchandra S Shah, MD - Medicare Obstetrics & Gynecology in Hazel Crest, IL

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Mr Kumudchandra S Shah, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Hazel Crest, Illinois. His current practice location is 17680 S Kedzie Ave, Suite 201, Hazel Crest, Illinois. You can reach out to his office (for appointments etc.) via phone at (708) 799-5420.

Mr Kumudchandra S Shah is licensed to practice in Illinois (license number 036048096) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1891862959.

Contact Information

Mr Kumudchandra S Shah, MD
17680 S Kedzie Ave, Suite 201,
Hazel Crest, IL 60429-2043
(708) 799-5420
(708) 799-4093

Map and Direction




Physician's Profile

Full NameMr Kumudchandra S Shah
GenderMale
SpecialityObstetrics & Gynecology
Location17680 S Kedzie Ave, Hazel Crest, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1891862959
  • Provider Enumeration Date: 11/30/2006
  • Last Update Date: 01/24/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 4688694680
  • Enrollment ID: I20120330000625

Medical Identifiers

Medical identifiers for Mr Kumudchandra S Shah such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1891862959NPI-NPPES
036048096MedicaidIL
21605584OtherILBLUE CROSS BLUE SHIELD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology 036048096 (Illinois)Primary

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. Mr Kumudchandra S Shah allows following entities to bill medicare on his behalf.
Entity NameAdvocate Health And Hospitals Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700824455
PECOS PAC ID: 7810800935
Enrollment ID: O20031106000064
Entity NameAccess Community Health Network
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982783692
PECOS PAC ID: 9537076112
Enrollment ID: O20031204000985
Entity NameFreeport Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447228788
PECOS PAC ID: 8426958232
Enrollment ID: O20040109000305

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. Mr Kumudchandra S 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 AddressPractice Location Address
Mr Kumudchandra S Shah, MD
17680 S Kedzie Ave, Suite 201,
Hazel Crest, IL 60429-2043

Ph: (708) 799-5420		Mr Kumudchandra S Shah, MD
17680 S Kedzie Ave, Suite 201,
Hazel Crest, IL 60429-2043

Ph: (708) 799-5420

Reviews and Comments


Obstetrics & Gynecology Doctors in Hazel Crest, IL

Dr. Ernest Anderson Hayes, M.D.
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 3330 W 177th St Ste 3g, Hazel Crest, IL 60429
Phone: 708-333-3030    Fax: 708-914-6020
Allan Ruby, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 17850 Kedzie Ave Ste 3500, Hazel Crest, IL 60429
Phone: 708-575-4415    Fax: 708-575-4416
Dr. Marjorie Ginou Michel, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 17850 Kedzie Ave Ste 3500, Hazel Crest, IL 60429
Phone: 708-575-4415    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.