Pratish Ajay Shah, MD in Springfield, IL - Medicare Diagnostic Radiology

Pratish Ajay Shah, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Springfield, Illinois. He graduated from medical school in 2008 and has 16 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Springfield Clinic Llp, Springfield Clinic Llp and his current practice location is 1025 S 6th St, Springfield, Illinois. You can reach out to his office (for appointments etc.) via phone at (217) 528-7541.

Pratish Ajay Shah is licensed to practice in North Carolina (license number 2020-02657) 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 1104142512.

Contact Information

	Pratish Ajay Shah, MD
	1025 S 6th St, Springfield, IL 62703-2499
	(217) 528-7541
	Not Available

Map and Direction

Physician's Profile

Full Name	Pratish Ajay Shah
Gender	Male
Speciality	Diagnostic Radiology
Experience	16 Years
Location	1025 S 6th St, Springfield, Illinois
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:

Pratish Ajay Shah graduated from medical school in 2008

NPI Data:

NPI Number: 1104142512
Provider Enumeration Date: 04/09/2010
Last Update Date: 02/03/2023

Medicare PECOS Information:

PECOS PAC ID: 1456630144
Enrollment ID: I20200610002889

Medical Identifiers

Medical identifiers for Pratish Ajay Shah such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104142512	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085N0700X	Radiology - Neuroradiology	2020-02657 (North Carolina)	Secondary
2085R0202X	Radiology - Diagnostic Radiology	2020-02657 (North Carolina)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Memorial Medical Center	Springfield, IL	Hospital
Abraham Lincoln Memorial Hospital	Lincoln, IL	Hospital
Taylorville Memorial Hospital	Taylorville, IL	Hospital
Decatur Memorial Hospital	Decatur, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Springfield Clinic Llp	0547166076	673
Springfield Clinic Llp	0547166076	673

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. Pratish Ajay Shah allows following entities to bill medicare on his behalf.

Entity Name	Valley Radiology, P A
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093723538 PECOS PAC ID: 0749181089 Enrollment ID: O20040119000580

Entity Name	Bladen Healthcare Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558537282 PECOS PAC ID: 6800967969 Enrollment ID: O20080617000314

Entity Name	Springfield Clinic Llp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780638478 PECOS PAC ID: 0547166076 Enrollment ID: O20220628000417

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. Pratish Ajay 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
Pratish Ajay Shah, MD Po Box 19248, Springfield, IL 62794-9248 Ph: (217) 528-7541	Pratish Ajay Shah, MD 1025 S 6th St, Springfield, IL 62703-2499 Ph: (217) 528-7541

Reviews and Comments

Radiology Doctors in Springfield, IL

Dr. Christopher John Norbet, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3050 Montvale Dr Ste A, Springfield, IL 62704 Phone: 217-726-8096
Sandra Scroggins, MD Radiology Medicare: Medicare Enrolled Practice Location: 800 E Carpenter St, Springfield, IL 62769 Phone: 217-814-5178 Fax: 217-757-6458
Dr. Terence Edward Wade, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 800 E Carpenter St, Springfield, IL 62769 Phone: 217-544-6464
Benjamin Walker Fischer-valuck, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 701 N 1st St., Springfield, IL 62781 Phone: 217-528-7541
Kevin Coakley, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3050 Montvale Dr Ste A, Springfield, IL 62704 Phone: 217-726-8096
Ronald Hidalgo, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3050 Montvale Dr, Ste A, Springfield, IL 62704 Phone: 720-848-0000 Fax: 720-848-0000
Dr. Benjamin Daniel Long, MD Radiology Medicare: Medicare Enrolled Practice Location: 800 E Carpenter St, Springfield, IL 62769 Phone: 217-544-6464

Pratish Ajay Shah, MD - Medicare Diagnostic Radiology in Springfield, IL