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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1932633849

Dr. Kushal Deepak Shah, MD is a Family Practice in Naperville, Illinois. Qualified in 2017, 9 years ago. Practices with Central Dupage Physician Group, a 1,094-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
9
Licensed in
IL
In the registry since
2017
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

101 E 75th St Ste 105
Naperville, IL 60565-1411
Phone: (630) 933-1700
Fax: (630) 933-6240
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 036152184 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1932633849
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 18, 2017
Last updated in NPPESNovember 2, 2020
Certification dateNovember 2, 2020
Mailing address101 E 75th St Ste 105, Naperville, IL 60565-1411

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Central Dupage Physician Group — 1094 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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