Sumin Shah, DO - Medicare Family Practice in Naperville, IL

Sumin Shah, DO is a medicare enrolled "Family Medicine" physician in Naperville, Illinois. He graduated from medical school in 1998 and has 26 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Legacy Healthcare Services Inc, Advocate Health And Hospitals Corporation and his current practice location is 1012 95th St, Ste 7, Naperville, Illinois. You can reach out to his office (for appointments etc.) via phone at (630) 428-3828.

Sumin Shah is licensed to practice in Illinois (license number 036103782) 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 1407825011.

Contact Information

Sumin Shah, DO
1012 95th St, Ste 7,
Naperville, IL 60564-5041
(630) 428-3828
(630) 428-3848

Map and Direction




Physician's Profile

Full NameSumin Shah
GenderMale
SpecialityFamily Practice
Experience26 Years
Location1012 95th St, Naperville, 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:
  • Sumin Shah graduated from medical school in 1998
  NPI Data:
  • NPI Number: 1407825011
  • Provider Enumeration Date: 03/16/2006
  • Last Update Date: 04/20/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 0143113787
  • Enrollment ID: I20040206000035

Medical Identifiers

Medical identifiers for Sumin Shah such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1407825011NPI-NPPES
036103782MedicaidIL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 036103782 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Advocate Home Health Care ServLombard, ILHome health agency
Advocate Trinity HospitalChicago, ILHospital
Advocate Christ Hospital & Medical CenterOak lawn, ILHospital
Silver Cross Hospital And Medical CentersNew lenox, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Legacy Healthcare Services Inc21633397223341
Advocate Health And Hospitals Corporation78108009352484

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. Sumin 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

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. Sumin 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
Sumin Shah, DO
1012 95th St, Suite 7,
Naperville, IL 60564-5041

Ph: (630) 312-7865
Sumin Shah, DO
1012 95th St, Ste 7,
Naperville, IL 60564-5041

Ph: (630) 428-3828

Reviews and Comments


Family Medicine Doctors in Naperville, IL

Cortney Cole, MD
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Phone: 630-527-3000    
Michael E Peters, MD
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Dr. Molly M D'costa, D.O.
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Dr. Terry May, D.O.
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Dr. Brian J Lenahan, D.O.
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Phone: 888-693-6437    
Dr. Barbara Jean Opalka, D.O.
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Practice Location: 2940 Rollingridge Rd, Suite 101, Naperville, IL 60564
Phone: 630-637-8630    Fax: 630-637-8640

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.