Dr. Pradip Shah, M.D.
Emergency Medicine in Watseka, IL. Individual provider (NPI-1).
NPI number1891789244
StatusActive
Last updated in NPPESOct 13, 2020
Details
- NPI
- 1891789244
- Entity type
- Individual (NPI-1)
- Name
- Dr. Pradip Shah
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 31, 2005
- Certification date
- Oct 13, 2020
- Last updated
- Oct 13, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - EMERGENCY MEDICINE
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | 036-055221 | IL | Yes |
Practice location
200 E Fairman AveWatseka, IL 60970-1644
Phone 630-321-8300 · Fax 630-321-8750
Mailing address
150 Quail Ridge DrWestmont, IL 60559-6142
Phone 630-321-8300 · Fax 630-321-8750
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 9 Emergency Medicine Physician providers in Watseka · All 268 providers in Watseka
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