Dr Prachi Shah, DO - Medicare Family Practice in Hinsdale, IL

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Dr Prachi Shah, DO is a medicare enrolled "Family Medicine" physician in Hinsdale, Illinois. She went to Kentucky School Of Medicine and graduated in 2018 and has 6 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Adventist Health Partners Inc and her current practice location is 908 N Elm St Ste 202, Hinsdale, Illinois. You can reach out to her office (for appointments etc.) via phone at (630) 323-1558.

Dr Prachi Shah is licensed to practice in Illinois (license number 036154401) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1477044204.

Contact Information

Dr Prachi Shah, DO
908 N Elm St Ste 202,
Hinsdale, IL 60521-3637
(630) 323-1558
Not Available

Map and Direction




Physician's Profile

Full NameDr Prachi Shah
GenderFemale
SpecialityFamily Practice
Experience6 Years
Location908 N Elm St Ste 202, Hinsdale, Illinois
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Prachi Shah attended and graduated from Kentucky School Of Medicine in 2018
  NPI Data:
  • NPI Number: 1477044204
  • Provider Enumeration Date: 05/29/2018
  • Last Update Date: 11/07/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 9638572043
  • Enrollment ID: I20210722002756

Medical Identifiers

Medical identifiers for Dr Prachi Shah such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1477044204NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 036154401 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Adventist Hinsdale HospitalHinsdale, ILHospital
Adventist Bolingbrook HospitalBolingbrook, ILHospital
Adventist La Grange Memorial HospitalLa grange, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Adventist Health Partners Inc0244135762211

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Prachi Shah allows following entities to bill medicare on her behalf.
Entity NameDupage Medical Group Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801833983
PECOS PAC ID: 5496667941
Enrollment ID: O20031110000535
Entity NameAdventist Health Partners Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033490651
PECOS PAC ID: 0244135762
Enrollment ID: O20040127000064

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Prachi Shah is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Prachi Shah, DO
908 N Elm St Ste 202,
Hinsdale, IL 60521-3637

Ph: (630) 323-1558		Dr Prachi Shah, DO
908 N Elm St Ste 202,
Hinsdale, IL 60521-3637

Ph: (630) 323-1558

Reviews and Comments


Family Medicine Doctors in Hinsdale, IL

Dr. Ashwani Kumar Garg, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 908 N Elm St Ste 202, Hinsdale, IL 60521
Phone: 630-861-6663    
Aleea Gupta, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 211 W Chicago Ave Ste 210, Hinsdale, IL 60521
Phone: 630-286-9192    Fax: 386-204-7159
Dr. Michael David Munoz Quien, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 135 N Oak St, Hinsdale, IL 60521
Phone: 630-856-8900    
Matthew Aaron Carter, DO
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 135 N Oak St, Hinsdale, IL 60521
Phone: 630-856-8900    Fax: 630-856-8933
Dr. Leslie Sleuwen, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 135 N Oak St, Hinsdale, IL 60521
Phone: 630-856-6865    Fax: 630-856-6813
Dr. Kimberly Sue Scanlon, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 908 N Elm St Ste 103, Hinsdale, IL 60521
Phone: 630-789-8890    Fax: 630-789-8892
Daniel Paloyan, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 333 Chestnut St, #l03, Hinsdale, IL 60521
Phone: 630-655-0722    Fax: 630-655-0728

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.