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Deactivated NPI 1700824976 Deactivated / Inactive NPI Male Practitioner

Dr. Shailesh R Amin , MD

Urology • Danville, IL

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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. Shailesh Amin has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 02, 2006
NPI Deactivation Date May 21, 2026
Total Practice Duration ~20 Years of Practice (2006 – 2026)

Professional Overview & Biography Verified Profile Summary

Dr. Shailesh Amin, MD was a registered Urology practicing in Danville, IL. Throughout an active medical career spanning 20 years, Dr. Amin provided care at the practice location at 707 N LOGAN AVE until profile deactivation on 2026-05-21.

Practice Location & Contact Primary Location

Practice Address

707 N Logan Ave

Danville, IL 618324360

Telephone 2174466410
Fax 2174774757
Associated Practice Facility / Clinic
🏢 Polyclinic Pharmacy Inc Facility NPI 1841270386

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Danville, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 26.7 Yrs
Regional Practice Density
3 Specialists

Practicing in Danville, IL (663 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

14 Associated Practitioners
Dr. Uma Sekar , MD

Internal Medicine

NPI 1174622849

Doctor of Medicine (M.D.)

Dr. Bipin Bavishi , MD

Orthopaedic Surgery

NPI 1275580987

Doctor of Medicine (M.D.)

Dr. Carlos Gotardo , MD

Internal Medicine

NPI 1285674564

Doctor of Medicine (M.D.)

NPI 1306893649

Doctor of Medicine (M.D.)

Erica Johnson , FNP

Nurse Practitioner - Family

NPI 1376715508

Family Nurse Practitioner

NPI 1386681658

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated May 21, 2026

Record deactivated on May 21, 2026

NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 09, 2007

Registered at 707 N LOGAN AVE, DANVILLE, IL 618324360 (Tel: 2174466410)

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Updated Business Mailing Address July 09, 2007

Registered at 707 N LOGAN AVE, DANVILLE, IL 618324360 (Tel: 2174466410)

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Provider Name / Credentials Updated July 09, 2007

Recorded as SHAILESH AMIN, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Urology

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Initial NPI Registration & Enumeration June 02, 2006

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

NPI Number: 1700824976
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 02, 2006
Last Update: July 09, 2007
Deactivation Date: May 21, 2026

Mailing Address

707 N Logan Ave

Danville, IL 618324360

Phone: 2174466410

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.