Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1750483657 Individual Practitioner Male Practitioner

Dr. Hasin Shah , MD

General Practice • St Elmo, IL

Professional Overview & Biography Verified Profile Summary

Dr. Hasin Shah, MD is a registered healthcare professional specializing in General Practice in St Elmo, IL. Practice services are available at 515 N MAIN STREET under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

515 N Main Street

St Elmo, IL 62458

Telephone 6188293200
Fax 6188293970

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in St Elmo, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 30.9 Yrs
Regional Practice Density
1 Specialists

Practicing in St Elmo, IL (355 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

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License IL 036053206

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
036053206 (IL)
Commercial Insurance / Payer ID Hl
371026381
Commercial Insurance / Payer ID Bcbs
0002600030

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active September 13, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location September 13, 2011

Registered at 515 N MAIN STREET, ST ELMO, IL 62458 (Tel: 6188293200)

📍
Updated Business Mailing Address September 13, 2011

Registered at 515 N MAIN STREET, ST ELMO, IL 62458 (Tel: 6188293200)

👤
Provider Name / Credentials Updated September 13, 2011

Recorded as HASIN SHAH, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 13, 2011

General Practice (License #036053206 in IL)

🟢
Initial NPI Registration & Enumeration September 01, 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: 1750483657
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 01, 2006
Last Update: September 13, 2011
Sole Proprietor: Yes

Mailing Address

515 N Main Street

St Elmo, IL 62458

Phone: 6188293200

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.