DR. SMITA J SHAH (NPI# 1063587640) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063587640 |
| Entity Type | Individual |
| Full Name | DR. SMITA J SHAH |
| Credential | M.D. |
| Practice Address |
6905 Cermak Rd Ste A Berwyn IL 60402-2175 |
| Practice Telephone | 7087490091 |
| Mailing Telephone | 7087490091 |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2012-07-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 036060462 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036060462 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104173426 | Smita Shah | Dentist | 530 S Monroe St, Monroe, MI 48161-2224 | 2012-08-06 |
| 1790847903 | Smita Shah | Internal Medicine | 3000 Q St Fl 2, Sacramento, CA 95816-7058 | 2006-12-14 |
| 1255349379 | Smita Jayprakash Shah | Anesthesiology | 1805 Medical Center Dr, San Bernardino, CA 92411-1217 | 2006-08-04 |
| 1063454817 | Smita S Shah | Internal Medicine | 4601 Whitesburg Dr S, Suite 101, Huntsville, AL 35802-1676 | 2006-06-12 |
| Street Address |
6905 CERMAK RD STE A |
| City | BERWYN |
| State | IL |
| Zip Code | 60402-2175 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073092359 | Loretto Hospital | Clinic/Center | 6905 Cermak Rd Ste A, Berwyn, IL 60402-2175 | 2018-08-08 |
| 1740499573 | Smita J Shah, Md | Internal Medicine | 6905 Cermak Rd Ste A, Berwyn, IL 60402-2175 | 2007-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619586518 | Lisa K Anderson-shaw | Clinical Ethicist | Macneal Trinity Medical Cetner, 3249 Oak Park Avenue, Berwyn, IL 60402 | 2020-07-27 |
| 1922622380 | Ayesha Ikram | Internal Medicine | Macneal Hospital 3249 S. Oak Park Ave, Brewyn, IL 60402 | 2020-06-02 |
| 1598329146 | Eleanor Teoh | Student in an Organized Health Care Education/Training Program | Family Medicine, Macneal Family Medicine Center, 3231 Eucild Ave, 5th Floor, Berwyn, IL 60402 | 2019-04-30 |
| 1376013920 | Virginia Mireles | Behavior Technician | 2317 S. Home, Berwyn, IL 60402 | 2018-11-27 |
| 1245709047 | Saraswati Koirala | Dentist | 1227 S Harlem Ave Apt414, Berwyn, IL 60402 | 2018-11-21 |
| 1295204220 | Dental Town Ltd | Dentist | 7106 W Cermak Rd, Berwyn, IL 60402 | 2018-11-20 |
| 1396231684 | Toya M Gildart | Counselor | Pillars, 6415 Stanley Avenue, Berwyn, IL 60402 | 2018-07-10 |
| 1437655685 | Ana Luisa Desantiago | Social Worker | 3245 Grove Ave Ste 201, Berwyn, IL 60402 | 2018-04-04 |
| 1821520198 | Chetan Velagapudi | Student in an Organized Health Care Education/Training Program | 3231 S Euclid Avenue, Suite 203, Berwyn, IL 60402 | 2017-03-28 |
| 1174976567 | Sydney Talavera | Counselor | 6415 Stanley Ave., Berwyn, IL 60402 | 2016-07-20 |
| Find all providers in zip 60402 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386256881 | Vpa PC | Internal Medicine | 1055 Westlakes Dr Ste 3152, Berwyn, PA 19312-2410 | 2020-08-18 |
| 1790160695 | Adelante Community Health Center | Internal Medicine | 6840 Ogden Ave, Berwyn, IL 60402-3645 | 2015-07-21 |
| 1730579442 | Daniel Colon Hidalgo | Internal Medicine | 3231 Euclid Ave Ste 203, Berwyn, IL 60402-6700 | 2015-02-02 |
| 1215378146 | Sawan Sharad Jalnapurkar | Internal Medicine | 3254 Maple Ave Apt 3c, Berwyn, IL 60402-2814 | 2013-07-08 |
| 1023354529 | Roberto J Gutierrez | Internal Medicine | 3223 Harlem Ave, Berwyn, IL 60402-2807 | 2013-01-02 |
| 1821353707 | Uroosa Kamran | Internal Medicine | 3249 S. Oak Park Avenue Macneal Hospital, Berwyn, IL 60402 | 2012-07-07 |
| 1144510488 | Daniel Davis | Internal Medicine | 1832 Wesley Ave, Berwyn, IL 60402-1850 | 2011-04-07 |
| 1457525206 | Daniel Eric Everitt | Internal Medicine | 1061 Waterloo Rd, Berwyn, PA 19312-2234 | 2008-04-14 |
| 1326217779 | Arze Doctors Center Sc | Internal Medicine | 6925 Cermak Rd, Berwyn, IL 60402-2248 | 2008-02-29 |
| 1083741110 | Ricardo Arze | Internal Medicine | 6949 Riverside Dr, 6925 Cermak Road, Berwyn, IL 60402-2235 | 2007-02-27 |
| Find all providers in BERWYN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.