Sejal Shah, M.D.
Internal Medicine Physician · Oak Park, IL
Sejal Shah, M.D. is an internal medicine physician with a practice address in Oak Park, Illinois, and NPI 1649201039, issued on Jul 5, 2006. Check the license (Illinois 036-110950, as entered in NPPES) on the Illinois Department of Financial and Professional Regulation; the Medicare figures below come from public CMS files.
- Name
- Sejal Shah
- Credential
- M.D.
- Primary taxonomy
- Internal Medicine Physician 207R00000X
- License number
- 036-110950 IL
Self-reported in NPPES; status is on the state search - Practice location
- 610 S Maple Ave, Oak Park, IL 60304
- Phone
- (708) 660-5017
- Enumerated
- Jul 5, 2006
- Record last updated
- Apr 30, 2021 (not updated in 5 years: call before relying on the address or phone)
- Medicare enrollment
- Enrolled (PECOS I20060807000362); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest internal medicine physician records → All 7,238 in Illinois → Look up another NPI →
Also registered at 610 S Maple Ave
A shared address usually means a shared clinic or building; it does not show who employs whom.
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Verify Sejal Shah in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersIllinois Department of Financial and Professional Regulation
Search for license 036-110950Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
94% fewer Medicare Part D claims than the average internal medicine physician in 2024
195 Medicare Part D claims for 86 beneficiaries, against an average of 3,176 among the 108,855 providers of this specialty who prescribed in Part D.
Most prescribed
- Warfarin Sodium148 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The practice group's MIPS final score for 2023 (Medicare payment program): 84.6 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Bills Medicare through one group practice
- Cook CountyChicago, IL
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Sejal Shah among 7,238 internal medicine physician records in Illinois
Sejal Shah, M.D. is one of 7,238 internal medicine physician records with a practice address in Illinois. 73% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 7% of them.
- NPI issued2006 · 7% of these records are older, 61% newer
- In a Medicare fileYes · 73% of these records are
- In the CMS Doctors and Clinicians fileYes · 50% of these records are
- Graduated2001 · median 2003 among the 3,580 with a school on file
- Record last updated2021 · 47% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207R00000X and a Illinois practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
62 internal medicine physician records list a practice address in Oak Park
They are 62 of the 2,307 NPPES records with a practice address in Oak Park, and 7,238 internal medicine physician records in Illinois.
All 7,238 in Illinois → Every provider in Oak Park → Internal Medicine Physician nationwide →
The 8 internal medicine physician records with the nearest ZIP codes
- Sheba Chiplunkar, M.D.Oak Park, IL 603041356374656
- Bernard Coniglio, M.D.Oak Park, IL 603041124085568
- Marie Feldman, MDOak Park, IL 603041841386729
- Janet Forbes, M.D.Oak Park, IL 603041295838779
- Catalina Grija, M.D.Oak Park, IL 603041770793143
- Rita Gupta, M.D.Oak Park, IL 603041922117985
- Mohammad Khan, M.D.Oak Park, IL 603041487653838
- Catherine Koop, M.D.Oak Park, IL 603041851358972
Common questions
What is Sejal Shah, M.D.'s NPI number?
Sejal Shah, M.D.'s National Provider Identifier (NPI) is 1649201039, issued on Jul 5, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Sejal Shah, M.D. located?
The NPPES record lists a practice address at 610 S Maple Ave, Oak Park, IL, 60304. Phone: (708) 660-5017. Providers update this record themselves, so call before visiting.
How can I verify Sejal Shah, M.D.'s license?
NPPES lists Illinois license number 036-110950, as entered by the provider. Search the Illinois Department of Financial and Professional Regulation at https://idfpr.illinois.gov/checklicense.html. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Sejal Shah, M.D. prescribe under Medicare Part D?
In 2024, Sejal Shah, M.D. had 195 Medicare Part D claims for 86 beneficiaries; the average among internal medicine physician prescribers was 3,176. Part D covers Medicare prescriptions only.
What is Sejal Shah, M.D.'s MIPS final score?
The 2023 MIPS final score is 84.6 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.