IndividualActive
Manisha Shah, MD
NPI 1306154984 · Obstetrics & Gynecology Physician · Urbana, IL
Provider details
- NPI number
- 1306154984
- Entity type
- Individual
- Primary specialty
- Obstetrics & Gynecology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 036126507 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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 methodology.
Practice location
611 W Park St
Urbana, IL 61801-2501
Phone: (217) 383-3140
Fax: (217) 383-4966
Street-level locationGet directions
Mailing address
611 W Park St
Urbana, IL 61801-2501
Additional practice locations (1)
- 1000 Health Center DrMattoon, IL 61938-4644Phone: (217) 238-4325Fax: (217) 348-4290
Registry dates
- Enumerated
- 2010-09-17
- Last updated
- 2025-10-02
- Certified
- 2025-10-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.