Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Bansari Shah, MD

Individual provider Emergency Medicine Physician · NPI 1497067789

Bansari Shah, MD is an Emergency Medicine in Chicago, Illinois. Graduated from University of California, San Diego School of Medicine in 2010, 16 years ago. Practices with Cep America - California, a 1,267-clinician group and accepts Medicare assignment. Licensed in California and Illinois.

Years since qualifying
16
Trained at
University of California, San Diego School of Medicine
Licensed in
CA, IL
In the registry since
2010
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

5841 S Maryland Ave
Chicago, IL 60637-1447
Phone: (773) 702-6757
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence A125097 (CA)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 125057860 (IL)

Record details

NPI number1497067789
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 2, 2010
Last updated in NPPESMay 5, 2020
Certification dateMay 5, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolUNIVERSITY OF CALIFORNIA, SAN DIEGO SCHOOL OF MEDICINE
Graduated 2010 (16 years in practice)
Group practice Cep America - California — 1267 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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