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Export Provider Record NPI 1215248067
Niraj Yatin ShahM.D.
Active
NPI Number1215248067
NPI TypeNPI-1 Individual
SpecialtyInternal Medicine
Provider Details
NPI1215248067
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2010-06-27
Last Updated2025-10-27
Mailing Address2025 S Chicago St Ste 1
Joliet, IL 60436-3173
United States
Phone: (815) 726-2200 | Fax: (815) 582-3253
📍 View Map
Primary Practice Address2025 S Chicago St
Joliet, IL 60436-3172
United States
Phone: (815) 726-2200 | Fax: (815) 582-3253
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes207R00000X – Internal MedicineIL036.131338
Export Provider Record NPI 1215248067
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About NPI 1215248067

Niraj Yatin Shah M.D. is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1215248067. The primary specialty listed is Internal Medicine. The provider is located in Joliet, IL. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2010-06-27. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1215248067?

NPI 1215248067 belongs to Niraj Yatin Shah M.D., a Internal Medicine in Joliet, IL. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1215248067 active?

The current status of NPI 1215248067 in the NPPES registry is Active. The record was last updated on 2025-10-27.

What specialty is NPI 1215248067?

NPI 1215248067 is classified under the taxonomy Internal Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1215248067?

You can verify NPI 1215248067 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1215248067?

The primary practice address on file for NPI 1215248067 is 2025 S Chicago St, Joliet, IL 60436-3172. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1215248067 issued?

NPI 1215248067 was first issued (enumerated) on 2010-06-27. The NPPES record was last updated on 2025-10-27.

Practice Location Map

Niraj Yatin Shah is located at 2025 S Chicago St, Joliet, IL. Use the map below to find directions or verify the practice location.

📍 2025 S Chicago St, Joliet, IL 60436-3172  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Niraj Yatin Shah. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1215248067. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Internal Medicine036.131338IL
Data Verified from CMS NPPES Last synced: 2026-09-01 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162