2026 NPPES data Specialist NPI 1053313775 M.D.
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PARTHIV SHAH, M.D.

Specialist in GURNEE, Illinois. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
2K
Medicare Part D claims · 253 beneficiaries · Specialist avg: 1K
Generic prescribing
77%
generic claims · 23% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$1.3K
61 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

PARTHIV SHAH, M.D. filed 1,698 Medicare Part D claims in 2023 as a Specialist in GURNEE, Illinois, prescribing 77% generic.

2K
Part D claims, 2023
77%
generic prescribing
$1.3K
industry payments (Sunshine Act)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) — no proprietary rating or editorial opinion is applied.

PARTHIV SHAH, M.D.'s Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

1,698 Top 18% higher than 82% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). Below this entry. 600–800: 56,224 prescribers (4%). Below this entry. 800–1,000: 40,919 prescribers (3%). Below this entry. 1,000–1,200: 31,827 prescribers (2%). Below this entry. 1,200–1,400: 26,224 prescribers (2%). Below this entry. 1,400–1,600: 21,710 prescribers (2%). Below this entry. 1,600–1,800: 19,072 prescribers (1%). This entry sits in this band. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2,000–2,200: 213,991 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Medicare Part D Prescriber Public Use File · 2023

What does the federal data show about PARTHIV SHAH, M.D.?

Quality data not reported

NPI registry status

Active

Issued 08/12/2005

NPI 1053313775

Primary specialty

Specialist

High-volume

69,658 US NPIs in this specialty

Medicare Part D claims

1,698 15% vs specialty avg

2023 prescription claims

Specialty avg: 1,474

Specialty distribution in Illinois

How Specialist compares to other specialties among Illinois providers

Illinois providers

Specialist share within Illinois

1. Specialist42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Specialist share within Illinois

Specialty board-certification context

Estimated specialty board-certified rate — Specialist (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Specialist ABMS/AOA estimate

Est. board-certified rate (Specialist) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Specialist) — ABMS / AOA estimate

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

PARTHIV SHAH, M.D. appears in the CMS NPPES registry as a Specialist provider holding M.D. credentials at 1790 NATIONS DR, GURNEE, IL, 60031, with a listed phone of (847) 662-4455. NPI 1053313775 was issued on 08/12/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what SHAH most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 1,698 prescription claims written by this provider, covering 253 Medicare beneficiaries and totaling roughly $269K in drug spend, split 23% brand-name and 77% generic by claim count. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy.

Specialist is a high-volume specialty nationwide, with 69,658 enrolled providers across 55 states and an average of 1,474 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

1790 NATIONS DR
GURNEE, IL 60031

Provider Details

NPI 1053313775
Specialty Specialist
Credentials M.D.
Gender Male
NPI Issued 08/12/2005

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for PARTHIV SHAH, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$1.3K

Largest payer

AstraZeneca Pharmaceuticals LP

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

License & disciplinary context — Illinois IDFPR 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~42K Illinois medical licensees in 2023 — they are NOT specific to PARTHIV SHAH, M.D.. To verify PARTHIV SHAH, M.D.'s current license status, search the IDFPR public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

106
Total board actions, Illinois 2023
Across 103 cases
2.52
Actions per 1,000 licensees
Illinois statewide rate
probation
Most common action type
38 cases

IDFPR publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Illinois disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

PARTHIV SHAH, M.D. — brand share 23.0%
Specialty average (est.)

23% brand-name claims vs 77% generic, on 1,698 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

1,698
Total Claims
$269K
Total Drug Cost
253
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
2,879
Total Day Supply
80,622
Brand vs Generic
23% brand / 77% generic
Brand Drug Cost
$223K
Generic Drug Cost
$46K
Antibiotic Claims
123

Patient Demographics

Average Patient Age
72.4 years
Avg HCC Risk Score
1.04
Gender Split
71% female / 29% male
Age Distribution
<65: 21, 65-74: 132, 75-84: 83, 85+: 17

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What PARTHIV SHAH, M.D. prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Montelukast Sodium
246
Levocetirizine Dihydrochloride
207
Fluticasone Propionate
195
Azelastine Hcl
159
Prednisone
77
Trelegy Ellipta
Fluticasone/Umeclidin/Vilanter
76
Advair Diskus
Fluticasone Propion/Salmeterol
56
Flovent Hfa
Fluticasone Propionate
54
Cefdinir
53
Wixela Inhub
Fluticasone Propion/Salmeterol
48

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Specialist Overview

How PARTHIV SHAH, M.D. fits within the Specialist landscape nationally.

69,658
Specialist Providers in US
55
States with Specialist
1,474
Avg Claims per Provider

PARTHIV SHAH, M.D.'s 1,698 claims are above the specialty average of 1,474.

Nearby Specialist Providers in Illinois

Other clinicians with the same primary specialty enrolled in Illinois, drawn from the same CMS NPPES roster as SHAH.

Compare Specialist nationally: see state-by-state distribution →

Frequently Asked Questions

What is PARTHIV SHAH, M.D.'s specialty?
PARTHIV SHAH, M.D. specializes in Specialist and practices in GURNEE, Illinois. Credentials: M.D..
How much does PARTHIV SHAH, M.D. prescribe under Medicare Part D?
In 2023, PARTHIV SHAH, M.D. wrote 1,698 Medicare Part D claims totaling $269K in drug costs for 253 beneficiaries.
Where is PARTHIV SHAH, M.D. located?
PARTHIV SHAH, M.D. is located at 1790 NATIONS DR, GURNEE, IL, 60031. Phone: (847) 662-4455.
What is PARTHIV SHAH, M.D.'s NPI number?
PARTHIV SHAH, M.D.'s National Provider Identifier (NPI) is 1053313775, issued on 08/12/2005.
Does PARTHIV SHAH, M.D. prescribe more brand-name or generic drugs?
PARTHIV SHAH, M.D.'s prescribing is 23% brand-name and 77% generic drugs by claim count, with $223K in brand drug costs.
How many Specialist providers are there in the US?
There are 69,658 Specialist providers across 55 states in the US. The average Specialist provider writes 1,474 Medicare Part D claims per year.
What drugs does PARTHIV SHAH, M.D. prescribe most often?
Based on 2023 Medicare Part D data, PARTHIV SHAH, M.D.'s most frequently prescribed drugs include Montelukast Sodium, Levocetirizine Dihydrochloride, Fluticasone Propionate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does PARTHIV SHAH, M.D. accept Medicare?
PARTHIV SHAH, M.D. appears in CMS Medicare data with 1,698 Part D claims and 253 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify PARTHIV SHAH, M.D.'s credentials?
PARTHIV SHAH, M.D.'s NPI is 1053313775 with credentials M.D.. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology