Atul Shah, MD - Medicare Cardiovascular Disease (cardiology) in O Fallon, IL

  1. Home
  2. Cardiovascular Disease
  3. IL
  4. O Fallon
Atul Shah, MD is a medicare enrolled "Internal Medicine - Cardiovascular Disease" physician in O Fallon, Illinois. He graduated from medical school in 1980 and has 44 years of diverse experience with area of expertise as Cardiovascular Disease (cardiology). He is a member of the group practice Hshs Holy Family Hospital Inc, Prairie Cardiovascular Consultants Ltd, St Josephs Hospital Breese Of The Hospital Sisters Of The Third Order, St. Elizabeth's Hospital Of The Hospital Sisters Of The Third Order Of and his current practice location is Three Saint Elizabeth Blvd Ste 2800, O Fallon, Illinois. You can reach out to his office (for appointments etc.) via phone at (618) 233-6044.

Atul Shah is licensed to practice in Illinois (license number 036-084332) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1215965660.

Contact Information

Atul Shah, MD
Three Saint Elizabeth Blvd Ste 2800,
O Fallon, IL 62269-1282
(618) 233-6044
(833) 973-4218

Map and Direction




Physician's Profile

Full NameAtul Shah
GenderMale
SpecialityCardiovascular Disease (cardiology)
Experience44 Years
LocationThree Saint Elizabeth Blvd Ste 2800, O Fallon, Illinois
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Atul Shah graduated from medical school in 1980
  NPI Data:
  • NPI Number: 1215965660
  • Provider Enumeration Date: 06/28/2006
  • Last Update Date: 12/30/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 2860471950
  • Enrollment ID: I20070524000259

Medical Identifiers

Medical identifiers for Atul Shah such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215965660NPI-NPPES
0360843321MedicaidIL
093363OtherHEALTH ALLIANCE
42767OtherCMR
12487OtherESSENCE
141631OtherUHC
37099690005OtherGHP
28281OtherMOBCBS MO
E57736OtherMERCY
060009694OtherRR MEDICARE
235177OtherWELLCARE
2507202OtherSECURE HORIZONS
189282OtherHEALTHLINK

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RI0011XInternal Medicine - Interventional Cardiology 036084332 (Illinois)Secondary
207RC0000XInternal Medicine - Cardiovascular Disease 036-084332 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Hshs St Elizabeth's HospitalO fallon, ILHospital
St Josephs HospitalBreese, ILHospital
Sparta Community HospitalSparta, ILHospital
St Joseph's HospitalHighland, ILHospital
Hshs Holy Family Hospital IncGreenville, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Hshs Holy Family Hospital Inc751787934922
Prairie Cardiovascular Consultants Ltd317343588088
St Josephs Hospital Breese Of The Hospital Sisters Of The Third Order963806489229
St. Elizabeth's Hospital Of The Hospital Sisters Of The Third Order Of640675301115

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. Atul Shah allows following entities to bill medicare on his behalf.
Entity NamePrairie Cardiovascular Consultants Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982714218
PECOS PAC ID: 3173435880
Enrollment ID: O20031103000090
Entity NamePrairie Cardiovascular Consultants Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659539559
PECOS PAC ID: 3173435880
Enrollment ID: O20031111000337
Entity NameSt. Elizabeth's Hospital Of The Hospital Sisters Of The Third Order Of
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194736728
PECOS PAC ID: 6406753011
Enrollment ID: O20031212000629
Entity NameSt Anthony's Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306800602
PECOS PAC ID: 2365341211
Enrollment ID: O20040108000741
Entity NameHshs Holy Family Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205850690
PECOS PAC ID: 7517879349
Enrollment ID: O20040216000198
Entity NameSt Josephs Hospital Breese Of The Hospital Sisters Of The Third Order
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457319154
PECOS PAC ID: 9638064892
Enrollment ID: O20040217000493
Entity NameSt. Josephs Hospital Of The Hospital Sisters Of The Third Order Of St
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447352323
PECOS PAC ID: 4183617517
Enrollment ID: O20040403000043
Entity NameSparta Community Hospital D/b/a Quality Healthcare Clinics
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114984226
PECOS PAC ID: 6709870462
Enrollment ID: O20040414000594

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. Atul 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
Atul Shah, MD
Three Saint Elizabeth Blvd Ste 2800,
O Fallon, IL 62269-1282

Ph: (618) 233-6044		Atul Shah, MD
Three Saint Elizabeth Blvd Ste 2800,
O Fallon, IL 62269-1282

Ph: (618) 233-6044

Reviews and Comments


Internal Medicine Doctors in O Fallon, IL

Thomas B. Cahill Jr., MD
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: Three Saint Elizabeth Blvd Ste 2800, O Fallon, IL 62269
Phone: 618-233-6044    Fax: 833-973-4218
Regina Y Chiu, M.D.
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: Three Saint Elizabeth Blvd Ste 2800, O Fallon, IL 62269
Phone: 618-233-6044    Fax: 833-973-4218
Lori Beth Helmers, APRN
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: Three Saint Elizabeth Blvd Ste 2800, O Fallon, IL 62269
Phone: 618-233-6044    Fax: 833-973-4218
Dr. Scott Benjamin Marrus, MD
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: Three Saint Elizabeth Blvd Ste 2800, O Fallon, IL 62269
Phone: 618-233-6044    Fax: 833-973-4218
Vinaya Mulkareddy, M.D.
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 3 Saint Elizabeth Blvd Ste 2800, O Fallon, IL 62269
Phone: 618-233-6044    Fax: 833-769-0777
Isaac Tran, M.D.
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 1 Saint Elizabeth Blvd, O Fallon, IL 62269
Phone: 618-234-2120    

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.