Niraj Shah, M.D.
NPI 1215248067 · Internal Medicine Physician · Joliet, IL
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Niraj Shah, M.D. is a Internal Medicine Physician provider in Joliet, IL (NPI 1215248067).
Provider details
- NPI number
- 1215248067
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 036.131338 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
16 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
869 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 305 | $128 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 214 | $16 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 76 | $133 |
| Annual Alcohol Misuse Screening, 5 to 15 MinutesG0442 | 55 | $19 |
| Annual Depression Screening, 5 to 15 MinutesG0444 | 55 | $19 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 129 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 396 | 114 |
| Amlodipine Besylate | 322 | 103 |
| Levothyroxine Sodium | 202 | 56 |
| Metformin Hcl | 202 | 59 |
| Lisinopril | 179 | 50 |
| Losartan Potassium | 170 | 51 |
| Omeprazole |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$661 across 40 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (1)
- 2202 Essington Rd Ste 1Joliet, IL 60435-1604Phone: (815) 726-2200Fax: (815) 582-3253
Registry dates
- Enumerated
- 2010-06-27
- Last updated
- 2025-10-27
- Certified
- 2025-10-27
Frequently asked questions
- What is Niraj Shah's NPI number?
- Niraj Shah's National Provider Identifier (NPI) is 1215248067, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Niraj Shah's specialty?
- Niraj Shah is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Niraj Shah located?
- Niraj Shah's practice location on file with NPPES is 2025 S Chicago St, Joliet, IL 60436-3172.
- What is Niraj Shah's phone number?
- The practice phone number listed in the NPPES registry for Niraj Shah is (815) 726-2200.
- Does Niraj Shah accept Medicare?
- Niraj Shah is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Niraj Shah's NPI active?
- Yes — Niraj Shah's NPI (1215248067) is active in the NPPES registry as of the last update on 2025-10-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.