Niraj J Shah, MD - Medicare Family Practice in Belleville, IL

Niraj J Shah, MD is a medicare enrolled "Family Medicine" physician in Belleville, Illinois. He graduated from medical school in 2009 and has 15 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Fairview Heights Medical Group Sc and his current practice location is 4700 Memorial Dr Ste 210, Belleville, Illinois. You can reach out to his office (for appointments etc.) via phone at (618) 767-7000.

Niraj J Shah is licensed to practice in Illinois (license number 036131200) 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 1134440969.

Contact Information

Niraj J Shah, MD
4700 Memorial Dr Ste 210,
Belleville, IL 62226-5373
(618) 767-7000
Not Available

Map and Direction




Physician's Profile

Full NameNiraj J Shah
GenderMale
SpecialityFamily Practice
Experience15 Years
Location4700 Memorial Dr Ste 210, Belleville, Illinois
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Niraj J Shah graduated from medical school in 2009
  NPI Data:
  • NPI Number: 1134440969
  • Provider Enumeration Date: 06/16/2010
  • Last Update Date: 03/30/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 9830332741
  • Enrollment ID: I20130826000017

Medical Identifiers

Medical identifiers for Niraj J Shah such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134440969NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 036131200 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Amedisys Home HealthO fallon, ILHome health agency
Bjc Home Care ServicesSaint louis, MOHome health agency
Hospice Of Southern Ill, IncBelleville, ILHospice
Memorial HospitalBelleville, ILHospital
Barnes Jewish HospitalSaint louis, MOHospital
Missouri Baptist Medical CenterTown and country, MOHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Fairview Heights Medical Group Sc6800784083346

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. Niraj J Shah allows following entities to bill medicare on his behalf.
Entity NameFairview Heights Medical Group Sc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679503668
PECOS PAC ID: 6800784083
Enrollment ID: O20040309000650

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. Niraj J 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
Niraj J Shah, MD
4700 Memorial Dr Ste 210,
Belleville, IL 62226-5373

Ph: (618) 767-7000
Niraj J Shah, MD
4700 Memorial Dr Ste 210,
Belleville, IL 62226-5373

Ph: (618) 767-7000

Reviews and Comments


Family Medicine Doctors in Belleville, IL

Wallace K Abel, MD
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Medicare: Not Enrolled in Medicare
Practice Location: 311 W Lincoln St Ste 200, Belleville, IL 62220
Phone: 618-234-2566    Fax: 618-234-5650
Dr. Shannon Erin Witty, M.D.
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Practice Location: 180 S 3rd St Ste 400, Belleville, IL 62220
Phone: 618-233-7880    
Naveen Kumar Reddy Bondalapati, M.D.
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Medicare: Accepting Medicare Assignments
Practice Location: 4500 Memorial Dr, Belleville, IL 62226
Phone: 618-233-3066    Fax: 618-257-6679
David J Nyquist, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 4500 Memorial Dr, Belleville, IL 62226
Phone: 618-257-6220    Fax: 618-257-6679
Brett Allen Nance, D.O.
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Medicare: Accepting Medicare Assignments
Practice Location: 180 S 3rd St, Suite 400, Belleville, IL 62220
Phone: 618-233-7880    Fax: 618-222-4792
Rosanne L Sutter, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 211 S 3rd St, Belleville, IL 62220
Phone: 618-234-2120    

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.