Riddhi Shah, M.D.
NPI 1538401849 · Hospitalist Physician · Dekalb, IL
Enrolled with Medicare as Practitioner - Hospitalist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Riddhi Shah, M.D. is a Hospitalist Physician provider in Dekalb, IL (NPI 1538401849).
Provider details
- NPI number
- 1538401849
- Entity type
- Individual
- Primary specialty
- Hospitalist PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- Yes
- License
- 036.138918 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
13 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
919 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) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 430 | $115 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 192 | $75 |
| Hospital Discharge Day Management, More Than 30 Minutes99239 | 169 | $109 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 109 | $165 |
| Hospital Discharge Day Management, 30 Minutes Or Less99238 | 19 | $82 |
Typical Medicare-allowed amounts for these services range $75–$165 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 8 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Prednisone | 35 | 34 |
| Doxycycline Hyclate | 25 | 25 |
| Metoprolol Succinate | 17 | 17 |
| Sulfamethoxazole/Trimethoprimbrand: Sulfamethoxazole-Trimethoprim | 17 | 16 |
| Atorvastatin Calcium | 16 | 16 |
| Pantoprazole Sodium | 16 | 15 |
| Levofloxacin | 13 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$37 across 2 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 (2)
- 2301 E 93rd St Ste 3610Chicago, IL 60617-3913Phone: (773) 967-5932
- 3475 S Alpine RdRockford, IL 61109-2604Phone: (815) 874-8000
Registry dates
- Enumerated
- 2013-03-25
- Last updated
- 2025-03-28
- Certified
- 2025-03-28
Frequently asked questions
- What is Riddhi Shah's NPI number?
- Riddhi Shah's National Provider Identifier (NPI) is 1538401849, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Riddhi Shah's specialty?
- Riddhi Shah is listed in the NPPES registry with a primary specialty of Hospitalist Physician (Allopathic & Osteopathic Physicians).
- Where is Riddhi Shah located?
- Riddhi Shah's practice location on file with NPPES is 1 Kish Hospital Dr, Dekalb, IL 60115-9602.
- What is Riddhi Shah's phone number?
- The practice phone number listed in the NPPES registry for Riddhi Shah is (815) 756-1521.
- Does Riddhi Shah accept Medicare?
- Riddhi Shah is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Riddhi Shah's NPI active?
- Yes — Riddhi Shah's NPI (1538401849) is active in the NPPES registry as of the last update on 2025-03-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.