DR. HASSAN ALI SHAH (NPI# 1659412682) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659412682 |
| Entity Type | Individual |
| Full Name | DR. HASSAN ALI SHAH |
| Credential | M.D. |
| Practice Address |
5841 S Maryland Ave # Mc5105 Chicago IL 60637-1443 |
| Mailing Address |
150 Harvester Dr Ste 300 Burr Ridge IL 60527-5965 |
| Practice Telephone | 7737021061 |
| Mailing Telephone | 7737021061 |
| Enumeration Date | 2007-02-11 |
| Last Update Date | 2018-12-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207W00000X | Ophthalmology | 036123095 | IL | Allopathic & Osteopathic Physicians |
| N | 207W00000X | Ophthalmology | R1249 | KY | Allopathic & Osteopathic Physicians |
| Y | 207WX0200X |
Ophthalmology Specialization: Ophthalmic Plastic and Reconstructive Surgery |
036123095 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036123095 | 05 | |
| IL | DEMERC SUPPLIER PTAN | 6180260001 | 01 |
| IN | CAQH 12100239 | 12100239 | 01 |
| IL | OPTICAL NPI | 1699802421 | 01 |
| IL | ILLINOIS MEDICARE PTAN COOK COUNTY FOR GROUP | 205785 | 01 |
| IL | CAQH 12100239 | 12100239 | 01 |
| IN | INDIANA MEDICAID LOCATION ORLAND PARK C | 200871680C | 01 |
| IN | ANTHEM BC/ BS | 530943 | 01 |
| IL | MEDICARE RAILROAD GRP PTAN | CK7818 | 01 |
| IL | UNIVERSITY OF CHICAGO MEDICAL CENTER NPI | 1700191012 | 01 |
| IN | INDIANA MEDICAID MUNSTER LOCATION A | 200871680A | 01 |
| IN | LEGACY PROVIDER IDENTIFIER (LPI) 200945500 | 200945500 | 01 |
| IL | ILLINOIS MEDICARE PTAN DUPAGE COUNTY FOR GROUP | 205786 | 01 |
| IN | INDIANA MEDICAID LOCATION CHICAGO RIDGE B | 200871680B | 01 |
| IL | BLUE CROSS AND BLUE SHIELD | 01620861 | 01 |
| IN | INDIANA MEDICAID LOCATION HINSDALE D | 200871680D | 01 |
| IN | PTAN INDIANA MEDICARE GROUP | 253350 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750511416 | Hassan Shah | Orthopaedic Surgery | 725 Volvo Pkwy Ste 210, Chesapeake, VA 23320-1621 | 2009-07-15 |
| 1578900593 | Hassan Murtaza Shah | Psychiatry & Neurology | 1201 Broad Rock Blvd # 116a, Richmond, VA 23249-5024 | 2013-05-31 |
| Street Address |
5841 S MARYLAND AVE # MC5105 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60637-1443 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386263234 | Pooja Ramnani | Pharmacist | 5841 S Maryland Ace, Chicago, IL 60637 | 2020-04-10 |
| 1780220079 | Tara Coleman | Non-emergency Medical Transport (VAN) | 808 E. 63rd Street, Suite 135, Chicago, IL 60637 | 2019-11-21 |
| 1366003501 | Valerie Silas | Case Management | 6330 S King Drive, Chicago, IL 60637 | 2019-06-27 |
| 1205391620 | Derek Joseph Fiedler | Anesthesiology | University of Chicago, 5841 S Maryland Ave, Chicago, IL 60637 | 2019-02-11 |
| 1821573072 | Ugochinyere Ohaja | Registered Nurse | 5656 South Maryland Avenue, Chicago, IL 60637 | 2018-10-03 |
| 1053899138 | Won Hee Oh | Physician Assistant | 5841 S. Maryland Ave., Mc5040, Chicago, IL 60637 | 2018-08-01 |
| 1558854695 | Rasidat Adeduntan | Internal Medicine | 5841 S. Maryland Avenue, [7082], Chicago, IL 60637 | 2018-06-13 |
| 1194235283 | Melissa Ann Arangoa | Registered Nurse | 5841 S. Maryland Ave, Mc 1083, Chicago, IL 60637 | 2017-10-03 |
| 1558880633 | Marni Harris | Optometrist | 5841 S Maryland Ave # S421, Chicago, IL 60637 | 2017-09-11 |
| 1992235105 | Vidya Mahavadi | Pediatrics | 5841 S. Maryland Avenue, Mail Code 8016, Chicago, IL 60637 | 2017-06-20 |
| Find all providers in zip 60637 | ||||
| Taxonomy Code | 207WX0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| Specialization | Ophthalmic Plastic and Reconstructive Surgery |
| A physician who specializes in oculofacial plastic and reconstructive surgery. This subspecialty combines orbital and periocular surgery with facial plastic surgery, and includes aesthetic and reconstructive surgery of the face, orbit, eyelid, and lacrimal system. Practitioners evaluate, diagnose and treat conditions involving the eyelids, brows, midface, orbits, lacrimal systems and surrounding and supporting structures of the face and neck. |
| Notes: Source: American Academy of Ophthalmology, 2015. www.aao.org [1/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003131657 | Paul Owen Phelps | Ophthalmology | 2050 Pfingsten Rd Ste 280, Glenview, IL 60026-1324 | 2010-04-06 |
Please comment or provide details below to improve the information on DR. HASSAN ALI SHAH.
| 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.