Neilesh Shah, MD is a medicare enrolled "Family Medicine" physician in Hazel Crest, Illinois. His current practice location is
17850 Kedzie Ave, 3200, Hazel Crest, Illinois. You can reach out to his office (for appointments etc.) via phone at
(708) 798-8112.
Neilesh Shah is licensed to practice in Illinois (license number 036113251) 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 1023007143.
Physician's Profile
| Full Name | Neilesh Shah |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 17850 Kedzie Ave, Hazel Crest, 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. |
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Medical Education and Training:
- Neilesh Shah attended and graduated from in
NPI Data:
- NPI Number: 1023007143
- Provider Enumeration Date: 10/20/2005
- Last Update Date: 12/20/2021
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Neilesh Shah such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1023007143 | NPI | - | NPPES |
| 036113251 | Medicaid | IL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 036113251 (Illinois) | Primary |
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. Neilesh 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 |
|---|
Neilesh Shah, MD
18440 Thompson Ct, 105,
Tinley Park, IL 60477-5390
Ph: (708) 532-6029 | Neilesh Shah, MD
17850 Kedzie Ave, 3200,
Hazel Crest, IL 60429-2058
Ph: (708) 798-8112 |
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