Nisha Shah, M.D.
NPI 1568547784 · Gastroenterology Physician · Winfield, IL
Enrolled with Medicare as Practitioner - Gastroenterology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Nisha Shah, M.D. is a Gastroenterology Physician provider in Winfield, IL (NPI 1568547784).
Provider details
- NPI number
- 1568547784
- Entity type
- Individual
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 036149335 (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
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
737 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 High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 86 | $186 |
| Insertion of Needle Into Vein for Collection of Blood Sample36415 | 74 | $9 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 71 | $171 |
| Removal of Polyps Or Growths of Large Bowel Using an Endoscope With Mechanical Snare45385 | 59 | $256 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 58 | $121 |
| Biopsy of Esophagus, Stomach, And/Or Upper Small Bowel Using a Flexible Endoscope |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 14 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Omeprazole | 171 | 72 |
| Pantoprazole Sodium | 91 | 44 |
| Peg3350/Sod Sulf,bicarb,cl/Kclbrand: Gavilyte-G | 68 | 67 |
| Sodium, Potassium,mag Sulfatesbrand: Sod Sulf-Potass Sulf-Mag Sulf | 58 | 56 |
| Lipase/Protease/Amylasebrand: Creon | 28 | — |
| Peg3350/Sod Sulf,bicarb,cl/Kclbrand: Peg-3350 and Electrolytes | 28 | 28 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$116 across 5 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
Registry dates
- Enumerated
- 2006-10-26
- Last updated
- 2023-09-11
- Certified
- 2023-09-11
Frequently asked questions
- What is Nisha Shah's NPI number?
- Nisha Shah's National Provider Identifier (NPI) is 1568547784, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Nisha Shah's specialty?
- Nisha Shah is listed in the NPPES registry with a primary specialty of Gastroenterology Physician (Allopathic & Osteopathic Physicians).
- Where is Nisha Shah located?
- Nisha Shah's practice location on file with NPPES is 25 N Winfield Rd Ste 300, Winfield, IL 60190-1222.
- What is Nisha Shah's phone number?
- The practice phone number listed in the NPPES registry for Nisha Shah is (630) 717-2600.
- Does Nisha Shah accept Medicare?
- Nisha Shah is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Nisha Shah's NPI active?
- Yes — Nisha Shah's NPI (1568547784) is active in the NPPES registry as of the last update on 2023-09-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.