DR. NIRAV A. SHAH (NPI# 1770733354) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770733354 |
| Entity Type | Individual |
| Full Name | DR. NIRAV A. SHAH |
| Credential | MD |
| Practice Address |
7600 W College Dr Palos Heights IL 60463-1001 |
| Practice Telephone | 7083610600 |
| Practice Fax Number | 7089232529 |
| Mailing Telephone | 7083610600 |
| Mailing Fax Number | 7089232529 |
| Enumeration Date | 2008-09-19 |
| Last Update Date | 2009-09-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | M9645 | TX | Allopathic & Osteopathic Physicians |
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
036115430 | IL | Allopathic & Osteopathic Physicians |
| N | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
M9645 | TX | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962033084 | Nirav Shah | Counselor | 5725 Northbrook Dr, Plano, TX 75093-5954 | 2020-01-28 |
| 1083970321 | Nirav S Shah | Anesthesiology | 900 Cummings Ctr Ste 221u, Beverly, MA 01915-6183 | 2012-04-11 |
| 1225315716 | Nirav R Shah | Podiatrist | 58 Nicole Dr, Denville, NJ 07834-9531 | 2011-11-10 |
| 1629389887 | Nirav Subhash Shah | Physical Therapist | 475 Front St, Hempstead, NY 11550-4229 | 2010-06-23 |
| 1588982664 | Nirav Shah | Psychiatry & Neurology | 4525 Heritage Trace Pkwy Ste 117, Fort Worth, TX 76244-8910 | 2010-05-13 |
| 1417114281 | Nirav Anilkumar Shah | Physical Therapist | 6001 Oakbend St Apt 8104, Orlando, FL 32835-2808 | 2008-05-20 |
| 1548392319 | Nirav Hasmukh Shah | Dentist | 467 N Twin Oaks Valley Rd, San Marcos, CA 92069-1708 | 2007-03-09 |
| 1417034943 | Nirav Ramesh Shah | Internal Medicine | Corning Tower Esp, Albany, NY 12237-0001 | 2006-11-01 |
| 1457385023 | Nirav K Shah | Emergency Medicine | 1500 W West Covina Pkwy Ste 100, West Covina, CA 91790-2729 | 2006-07-10 |
| 1023083607 | Nirav D Shah | Internal Medicine | 5 Jeanne Dr Ste 7, Newburgh, NY 12550-1797 | 2006-02-17 |
| Street Address |
7600 W COLLEGE DR |
| City | PALOS HEIGHTS |
| State | IL |
| Zip Code | 60463-1001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952309932 | James B Boscardin | Orthopaedic Surgery | 7600 W College Dr, Palos Heights, IL 60463-1001 | 2005-07-13 |
| 1730617036 | Allison M Coenen | Physician Assistant | 7600 W College Dr, Palos Heights, IL 60463-1001 | 2017-05-31 |
| 1043765258 | Justine Vogel | Physician Assistant | 7600 W College Dr, Palos Heights, IL 60463-1001 | 2016-08-17 |
| 1710388236 | Kasey Cartwright | Occupational Therapist | 7600 W College Dr, Palos Heights, IL 60463-1001 | 2014-09-16 |
| 1174942718 | James E. Mccormick, D.m.d., M.s., Ltd. | Dentist | 7600 W College Dr, Palos Heights, IL 60463-1001 | 2014-04-10 |
| 1831518430 | Colleen Krambeck | Physical Therapist | 7600 W College Dr, Palos Heights, IL 60463-1001 | 2014-04-10 |
| 1437584364 | Premiere General Medicine S C | Internal Medicine | 7600 W College Dr, Palos Heights, IL 60463-1001 | 2013-09-10 |
| 1801221080 | Susan Damstra | Physical Therapist | 7600 W College Dr, Palos Heights, IL 60463-1001 | 2013-09-06 |
| 1699028860 | Brian Marc Karshen | Dentist | 7600 W College Dr, Palos Heights, IL 60463-1001 | 2012-10-24 |
| 1487911459 | Kyle John Macgillis | Orthopaedic Surgery | 7600 W College Dr, Palos Heights, IL 60463 | 2012-04-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932756095 | Kim Rusiecki | Technician | 25 Parliament Drive East, Palos Heights, IL 60463 | 2019-08-23 |
| 1265925218 | Sentinel Anesthesia of Illinois, PC | Anesthesiology | 7340 W College Dr Fl 1, Palos Heights, IL 60463 | 2018-06-13 |
| 1225410848 | Deborah Ann Castaneda | Skilled Nursing Facility | 12350 Natchez Ave., Palos Heights, IL 60463 | 2015-06-19 |
| 1609253160 | Tareq Ayyad | Physical Therapy Assistant | 11730 Lighthouse Ln, Palos Heights, IL 60463 | 2015-05-04 |
| 1366846503 | Ryan Teahen | Dentist | 7600 W College Dr Ste 17, Palos Heights, IL 60463 | 2014-10-17 |
| 1295140309 | Paul Park | Ophthalmology | 7600 W College Dr Ste 9, Palos Heights, IL 60463 | 2014-06-26 |
| 1275976045 | Nazim A. Khan | Physician Assistant | 6450 West College Drive, Palos Heights, IL 60463 | 2013-04-11 |
| 1619246824 | Amanda M Ejka | Psychologist | 11800 South 75th Avenue, Suite 300, Palos Heights, IL 60463 | 2011-12-16 |
| 1578832937 | Sandi Maheras | Pharmacist | 1703 Spyglass Cir, Palos Heights, IL 60463 | 2011-12-14 |
| 1043597065 | Ashraf Olwan | Pharmacist | 7660 W Sequoia Rd, Palos Heights, IL 60463 | 2011-11-04 |
| Find all providers in zip 60463 | ||||
| Taxonomy Code | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063048395 | Dr Ouilife LLC | Orthopaedic Surgery | 640 S Federal St Apt 410, Chicago, IL 60605-1800 | 2020-03-18 |
| 1316437890 | Darcy L Marr | Orthopaedic Surgery | 3030 Salt Creek Lane, Suite 100, Arlington Heights, IL 60005 | 2018-05-10 |
| 1568851251 | Benjamin Scott Kester | Orthopaedic Surgery | 1725 W Harrison St Ste Rush, Chicago, IL 60612-3841 | 2015-01-18 |
| 1609041565 | Sheryl Lynn Lipnick | Orthopaedic Surgery | 1585 N. Barrington Rd Ste 101, Drs. Bldg. 2, Hoffman Estates, IL 60169-5019 | 2008-04-22 |
| 1295937555 | Gregory Lamar Primus | Orthopaedic Surgery | 7543 183rd St, Tinley Park, IL 60477-6208 | 2007-05-31 |
| 1154454635 | Benjamin Domb | Orthopaedic Surgery | 999 E Touhy Ave Ste 450, Des Plaines, IL 60018-2748 | 2007-03-13 |
| 1518981612 | Sean Daniel Odell | Orthopaedic Surgery | 375 S Roselle Rd, Schaumburg, IL 60193-5544 | 2006-07-26 |
| 1568419463 | Mark K. Bowen | Orthopaedic Surgery | 680 N Lake Shore Dr Ste 924, Chicago, IL 60611 | 2006-05-27 |
| 1639146103 | Jean Benoit Houle | Orthopaedic Surgery | 4121 Veterans Memorial Dr, Mount Vernon, IL 62864-6262 | 2006-03-03 |
| 1093792277 | Scott Eric Urch | Orthopaedic Surgery | 503 E Grant St, Macomb, IL 61455-3313 | 2005-12-28 |
| Find all providers with the same taxonomy | ||||
| City | PALOS HEIGHTS |
| Zip Code | 60463 |
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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.