Ravi M Shah, - Medicare Sports Medicine in Tinley Park, IL

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Ravi M Shah, is a medicare enrolled "Family Medicine - Sports Medicine" physician in Tinley Park, Illinois. He graduated from medical school in 2017 and has 9 years of diverse experience with area of expertise as Sports Medicine. He is a member of the group practice Endeavor Health Medical Group and his current practice location is 7543 183rd St, Tinley Park, Illinois. You can reach out to his office (for appointments etc.) via phone at (708) 263-2000.

Ravi M Shah is licensed to practice in Illinois (license number 036.149951) 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 1326579103.

Contact Information

Ravi M Shah,
7543 183rd St,
Tinley Park, IL 60477-6208
(708) 263-2000
(708) 263-2023

Map and Direction




Physician's Profile

Full NameRavi M Shah
GenderMale
SpecialitySports Medicine
Experience9 Years
Location7543 183rd St, Tinley Park, 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:
  • Ravi M Shah graduated from medical school in 2017
  NPI Data:
  • NPI Number: 1326579103
  • Provider Enumeration Date: 03/23/2017
  • Last Update Date: 05/06/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 9638449473
  • Enrollment ID: I20220202002005

Medical Identifiers

Medical identifiers for Ravi M Shah such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1326579103NPI-NPPES
1326579103MedicaidIL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 125.070237 (Illinois)Secondary
207QS0010XFamily Medicine - Sports Medicine 036.149951 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Northshore University Healthsystem - Evanston HospitalEvanston, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Endeavor Health Medical Group21633346993022

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. Ravi M Shah allows following entities to bill medicare on his behalf.
Entity NameEndeavor Health Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497701882
PECOS PAC ID: 2163334699
Enrollment ID: O20040524000118
Entity NamePrimus Orthopedics Sc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700023793
PECOS PAC ID: 6901954361
Enrollment ID: O20090423000548
Entity NameNgx Illinois Sc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194438515
PECOS PAC ID: 6901270446
Enrollment ID: O20230323000650

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. Ravi M 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
Ravi M Shah,
7900 Rollins Rd Ste 1400,
Gurnee, IL 60031-1512

Ph: (847) 866-7846		Ravi M Shah,
7543 183rd St,
Tinley Park, IL 60477-6208

Ph: (708) 263-2000

Reviews and Comments


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Kathleen M Bewley-thomas, DO
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Dr. Roy James Bardwell Jr., D.O.
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Scott R Lowry, DO
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Phone: 708-966-0788    

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).

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