Dr. Smita J Shah , MD
Internal Medicine • Berwyn, IL
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Smita Shah has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Smita Shah, MD was a registered Internal Medicine practicing in Berwyn, IL. Throughout an active medical career spanning 19 years, Dr. Shah provided care at the practice location at 6905 CERMAK RD STE A until profile deactivation on 2025-04-10.
Historical Medicare Part B clinical services included established patient outpatient office visit. Public procedure reimbursement records and service volume details are provided below for historical transparency.
Practice Location & Contact Primary Location
6905 Cermak Rd Ste A
Berwyn, IL 604022175
Specialty Benchmarks & Practice Insights
Comparative analytics for Internal Medicine in Berwyn, IL
Practicing in Berwyn, IL (7544 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Performed Procedures & Service Volume
Top Medicare Part B procedures performed by this practitioner
| HCPCS Code & Description | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
|
99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
|
147 | 34 | $225.00 | $106.85 |
|
99213
Established patient office or other outpatient visit, typically 15 minutes
|
65 | 26 | $210.00 | $72.57 |
Medical Specialties & State Licenses
NUCC Taxonomy Code: 207R00000X
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on April 10, 2025
NPI status registered as active in NPPES database
Registered at 6905 CERMAK RD STE A, BERWYN, IL 604022175 (Tel: 7087490091)
Registered at 6905 CERMAK RD STE A, BERWYN, IL 604022175 (Tel: 7087490091)
Recorded as SMITA SHAH, M.D.
Internal Medicine (License #036060462 in IL)
First registered as active Individual Practitioner in NPPES Database.
Patient & Community Reviews
Verified patient ratings, medical care experiences, and facility photos
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NPI Administrative Meta
Mailing Address
6905 Cermak Rd Ste A
Berwyn, IL 604022175
Phone: 7087490091
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