RAJU KIRTIKUMAR SHAH MD
NPI 1669888491
Family Medicine - Geriatric Medicine in La Grange, IL
NPI Status: Active since July 01, 2014
Contact Information
5101 WILLOW SPRINGS RD
2ND FLOOR
LA GRANGE, IL
ZIP 60525
Phone: (708) 245-8900
Fax: (708) 245-5604
- Individual
- Male
- Family Medicine
- Geriatric Medicine
- PECOS Enrolled
About RAJU SHAH
This page provides the complete NPI Profile along with additional information for Raju Shah, a primary care provider established in La Grange, Illinois with a medical specialization in Family Medicine, focusing in geriatric medicine . The healthcare provider is registered in the NPI registry with number 1669888491 assigned on July 2014. The practitioner's primary taxonomy code is 207QG0300X with license number 036143438 (IL). The provider is registered as an individual and his NPI record was last updated 7 years ago.
- NPI
- 1669888491
- Provider Name
- RAJU KIRTIKUMAR SHAH MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 5101 WILLOW SPRINGS RD 2ND FLOOR LA GRANGE, IL 60525
- Location Phone
- (708) 245-8900
- Location Fax
- (708) 245-5604
- Mailing Address
- 4461 PROGRESS BLVD PERU, IL 61354
- Mailing Phone
- (815) 223-9683
- Mailing Fax
- (708) 245-5604
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-01-2014
- Last Update Date
- 09-04-2018
- Code Navigator
A primary care provider (PCP) like Raju Shah sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Secondary Locations
- 5101 Willow Springs Rd 2ND FLOOR
LA Grange, IL 60525
(708) 245-8900 - 4461 Progress Blvd
Peru, IL 61354
(815) 223-9683
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Family Medicine Geriatric Medicine
- Taxonomy Code
- 207QG0300X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 036143438
- License State
- IL
- Taxonomy Description
- A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 390200000X | Student, Health Care | Student in an Organized Health Care Education/Training Program | 125065796 (IL) |
Medicare Participation & PECOS Enrollment Status
Raju Shah is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 60525 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $94.06
- Minimum New Patient Price $60.08
- Maximum New Patient Price $183.39
- Average New Patient Copayment $23.51
- Minimum New Patient Copayment $15.02
- Maximum New Patient Copayment $45.84
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $105.7
- Minimum Established Patient Price $18.97
- Maximum Established Patient Price $148.12
- Average Established Patient Copayment $26.42
- Minimum Established Patient Copayment $4.74
- Maximum Established Patient Copayment $37.03
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 6 | 9 | 8 | 8 | 8 | 4 | 9 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 12 | 9 | 16 | 8 | 16 | 4 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 1 + 2 + 9 + 1 + 6 + 8 + 1 + 6 + 4 + 1 + 8 + 24 = 79 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 79 = 1 | 1 | ||||||||
The NPI number 1669888491 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1740239045 | DR. WILLIAM NELSON MD Individual | Family Medicine | 5101 WILLOW SPRINGS RD 2ND FLR LA GRANGE, IL 60525 (708) 245-8900 |
| 1912947292 | GEORGE KATELE MD Individual | Anesthesiology | 5101 WILLOW SPRINGS RD LA GRANGE, IL 60525 (708) 352-1200 |
| 1194767392 | SUBURBAN ANESTHESIOLOGISTS, SC Organization | Anesthesiology | 5101 WILLOW SPRINGS RD LA GRANGE, IL 60525 (708) 352-1200 |
| 1427090620 | DR. ROBERT HUSFIELD M.D Individual | Anesthesiology | 5101 WILLOW SPRINGS RD LA GRANGE, IL 60525 (708) 352-1200 |
| 1124060926 | DR. OSWALDO LASTRES M.D Individual | Anesthesiology | 5101 WILLOW SPRINGS RD LA GRANGE, IL 60525 (708) 352-1200 |
| 1336181148 | SHIRLEY A MONDRAGON CRNA Individual | Nurse Anesthetist, Certified Registered | 5101 WILLOW SPRINGS RD LA GRANGE, IL 60525 (708) 352-1200 |
| 1023044955 | SOULA KARNEZIS C.R.N.A Individual | Nurse Anesthetist, Certified Registered | 5101 WILLOW SPRINGS RD LA GRANGE, IL 60525 (708) 352-1200 |
| 1093734725 | MS. JENNIFER M ANTONE CRNA Individual | Nurse Anesthetist, Certified Registered | 5101 WILLOW SPRINGS RD LA GRANGE, IL 60525 (708) 245-6600 |
| 1568482487 | DR. JOSEPH WILLIAM CHESSARE M.D. Individual | Radiology (Diagnostic Radiology) | 5101 WILLOW SPRINGS RD LA GRANGE, IL 60525 (708) 352-1200 |
| 1083637615 | DR. GERALD TIMOTHY JOHNSON M.D. Individual | Radiology (Diagnostic Radiology) | 5101 WILLOW SPRINGS RD LA GRANGE, IL 60525 (708) 352-1200 |
| 1699798264 | DR. PATRICIA LEE M.D. Individual | Radiology (Diagnostic Radiology) | 5101 WILLOW SPRINGS RD LA GRANGE, IL 60525 (708) 352-1200 |
| 1679596241 | DR. SCOTT KWAN LEE M.D. Individual | Radiology (Diagnostic Radiology) | 5101 WILLOW SPRINGS RD LA GRANGE, IL 60525 (708) 352-1200 |
| 1285851246 | DR. CHRISTINE O'CONNOR BONHOMME M.D. Individual | Family Medicine | 5101 WILLOW SPRINGS RD LA GRANGE, IL 60525 (708) 245-8975 |
| 1568654812 | DR. WINFRED KOFI KOKOR M.D Individual | Family Medicine | 5101 WILLOW SPRINGS RD LA GRANGE, IL 60525 (708) 245-8933 |
| 1386968139 | DR. SHEELA D KONDA M.D, PH.D Individual | Radiology (Diagnostic Radiology) | 5101 WILLOW SPRINGS RD LA GRANGE, IL 60525 (630) 581-6511 |
| 1144545849 | PRACHI INDRAVADAN PATEL D.O. Individual | Student in an Organized Health Care Education/Training Program | 5101 WILLOW SPRINGS RD 2ND FLOOR LA GRANGE, IL 60525 (708) 245-8900 |
| 1063789360 | ADVENTIST MIDWEST GERIATRICS SPECIALISTS Organization | Skilled Nursing Facility | 5101 WILLOW SPRINGS RD LA GRANGE, IL 60525 (708) 245-4073 |
| 1760757280 | MICHELLE M BUIKEMA NP-C Individual | Nurse Practitioner | 5101 WILLOW SPRINGS RD LA GRANGE, IL 60525 (708) 245-4073 |
| 1831444082 | MRS. ANN CZARNY APRN Individual | Clinical Nurse Specialist (Critical Care Medicine) | 5101 WILLOW SPRINGS RD LA GRANGE, IL 60525 (708) 245-2352 |
| 1215943576 | ADVENTIST HEALTH PARTNERS,INC Organization | Internal Medicine (Geriatric Medicine) | 5101 WILLOW SPRINGS RD LA GRANGE, IL 60525 (708) 245-4073 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1669888491, enumerated in the NPI registry as an "individual" on July 01, 2014
The provider is located at 5101 Willow Springs Rd 2nd Floor La Grange, Il 60525 and the phone number is (708) 245-8900
The provider's speciality is Family Medicine with taxonomy code 207QG0300X with a focus in Geriatric Medicine
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $94.06 with an average copayment of $23.51 for new patient appointments. Established patients should expect a typical charge of $105.7 and an average copayment of 26.42. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on July 01, 2014. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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