DR. SAMIR K SHAH (NPI# 1427072768) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427072768 |
| Entity Type | Individual |
| Full Name | DR. SAMIR K SHAH |
| Credential | M.D. |
| Practice Address |
2350 N Rockton Ave Rockford IL 61103-3600 |
| Practice Telephone | (815) 971-2200 |
| Practice Fax Number | 8159719097 |
| Mailing Telephone | (815) 971-2200 |
| Mailing Fax Number | 8159719097 |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2017-09-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RA0000X |
Internal Medicine Specialization: Adolescent Medicine |
036-063403 | IL | Allopathic & Osteopathic Physicians |
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
036-063403 | IL | Allopathic & Osteopathic Physicians |
| N | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
036-063403 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036063403 | 05 | |
| IL | BCBS | 01636052 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720433451 | Samir Shah | General Practice | 3005 Jackson Ave, Point Pleasant, WV 25550-1717 | 2016-05-02 |
| 1760869747 | Samir Shah | Pharmacist | 2675 Kennedy Blvd, Apt K, Jersey City, NJ 07306-5847 | 2015-04-29 |
| 1992961494 | Samir Rajendra Shah | Plastic Surgery | 737 W Washington Blvd, Unit 3007, Chicago, IL 60661-2173 | 2008-08-04 |
| 1447434469 | Samir Suresh Shah | Internal Medicine | 3140 Princeton Pike Fl 2, Lawrenceville, NJ 08648-2330 | 2007-12-27 |
| 1710166699 | Samir K Shah | Pharmacist | 59 N Plank Rd, Suite 2, Newburgh, NY 12550-2126 | 2007-10-29 |
| 1881893741 | Samir Rameshchandra Shah | Surgery | 5803 Nw 151st St Ste 105, Miami Lakes, FL 33014-2473 | 2007-07-12 |
| 1457412611 | Samir B Shah | Dentist | 469 W Base Line Rd, Rialto, CA 92376-3379 | 2006-12-12 |
| 1437217841 | Samir S Shah | Internal Medicine | 220 W. Arbor Dr. Dept 8781, San Diego, CA 92103-8781 | 2006-12-05 |
| 1881787323 | Samir Hasmukh Shah | Psychiatry & Neurology | 7515 Greenville Ave Ste 400, Dallas, TX 75231-3860 | 2006-10-02 |
| 1548377104 | Samir C Shah | Internal Medicine | 700 Tyrone Blvd N, St Petersburg, FL 33710-7127 | 2006-08-23 |
| Street Address |
2350 N ROCKTON AVE |
| City | ROCKFORD |
| State | IL |
| Zip Code | 61103-3600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801899935 | Dean T Fochios | Orthopaedic Surgery | 2350 N Rockton Ave, Rockford, IL 61103-3600 | 2005-05-23 |
| 1518593342 | Leah Burns | Physician Assistant | 2350 N Rockton Ave, Rockford, IL 61103-3600 | 2020-03-12 |
| 1275185142 | Brenda Ann Beilfuss | Nurse Practitioner | 2350 N Rockton Ave, Rockford, IL 61103-3600 | 2019-07-11 |
| 1588135529 | Constance Faye Blaisdell | Nurse Practitioner | 2350 N Rockton Ave, Rockford, IL 61103-3600 | 2018-12-17 |
| 1982144762 | Lu Ann Ostrander | Nurse Practitioner | 2350 N Rockton Ave, Rockford, IL 61103-3600 | 2017-02-28 |
| 1821476359 | Hanna J Rakowski | Nurse Practitioner | 2350 N Rockton Ave, Suite 304, Rockford, IL 61103-3600 | 2015-05-17 |
| 1770854085 | Meghan Hess | Nurse Practitioner | 2350 N Rockton Ave, Rockford, IL 61103-3600 | 2012-01-18 |
| 1578792511 | Maxine Mathew | Internal Medicine | 2350 N Rockton Ave, Internal Medicine Dept, Rockford, IL 61103-3600 | 2009-07-13 |
| 1194965129 | Kevin Harold Ruggles | Psychiatry & Neurology | 2350 N Rockton Ave, Rockford, IL 61103-3600 | 2009-03-04 |
| 1477726396 | Spiros K. Analitis, M.d.,p.c. | General Acute Care Hospital | 2350 N Rockton Ave, Rockford, IL 61103-3600 | 2008-04-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598398497 | The Elitist Group | Home Health Aide | 2929 N Main Street, Rockford, IL 61103 | 2020-02-19 |
| 1972064194 | Mahita Bellamkonda | Student in an Organized Health Care Education/Training Program | 2400 North Rockton Avenue, Rockford, IL 61103 | 2019-03-29 |
| 1558538967 | Willows Health Center | Clinic/Center | 4143 Albright Lane, Rockford, IL 61103 | 2008-05-14 |
| 1497845135 | Humaira Bari | Internal Medicine | 2400 N. Rockton Avenue, Rockford, IL 61103 | 2006-10-13 |
| 1841385242 | Rachel Pawlowski | Occupational Therapist | 3616 N. Main Street, Rockford, IL 61103 | 2006-10-03 |
| 1417068438 | Alicia Anne Huntley | Midwife | 2400 Rockton Ave, Rockford, IL 61103 | 2006-08-31 |
| 1639190200 | Glendon Burress | Pediatrics | 2300 N. Rockton Ave., Rockford Health Physicians, Rockford, IL 61103 | 2006-07-21 |
| 1225065204 | Daniel William Johnson | Dentist | 519 Toner Av, Rockford, IL 61103 | 2006-06-27 |
| 1760472898 | Ronald Peter Oberfoell | Anesthesiology | 2400 North Rockton Ave, Rockford Health Physicians, Rockford, IL 61103 | 2005-10-28 |
| 1841752532 | Dipti Sabharwal | Student in an Organized Health Care Education/Training Program | 2400 N Rockton Avenue, Rockford, IL 61103 | 2019-04-02 |
| Find all providers in zip 61103 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1699775775 | Rockford Cardiology Associates, Ltd | Internal Medicine | 444 Roxbury Road, Rockford, IL 61107-5059 | 2005-07-29 |
| 1508865718 | Shobashalini Chokkalingam | Internal Medicine | 8201 E Riverside Blvd, Rockford, IL 61114-2300 | 2005-07-19 |
| 1194965012 | Cardiovascular Institute At Osf, LLC | Internal Medicine | 444 Roxbury Rd, Rockford, IL 61107-5059 | 2009-03-05 |
| 1477704252 | Mazen Hadid | Internal Medicine | 1340 Charles St Ste 300, Rockford, IL 61104-2200 | 2008-10-09 |
| 1457516965 | Rehmat Ullah Sheikh | Internal Medicine | 1340 Charles St Ste 300, Rockford, IL 61104-2200 | 2008-07-23 |
| 1558577460 | Xu Wang | Internal Medicine | 444 Roxbury Rd, Rockford, IL 61107-5059 | 2007-05-15 |
| 1982795894 | Andrew Kotis | Internal Medicine | 1340 Charles St, Suite 300, Rockford, IL 61104-2200 | 2006-09-27 |
| 1639260508 | Paul T Vaitkus | Internal Medicine | 1340 Charles St Ste 300, Rockford, IL 61104-2200 | 2006-09-27 |
| 1003910423 | Prasad K. Kilaru | Internal Medicine | 2350 N Rockton Ave, Rockford, IL 61103-3600 | 2006-09-08 |
| 1760497416 | Yaser Siraj | Internal Medicine | 1340 Charles St, Rockford, IL 61104-2200 | 2006-07-30 |
| Find all providers in ROCKFORD | ||||
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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.