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

Dr. Nishith Shah, MD

Individual provider Family Medicine Physician · NPI 1902255656

Dr. Nishith Shah, MD is a Family Practice in Rockford, Illinois. Qualified in 2014, 12 years ago. Practices with Central Dupage Physician Group, a 1,094-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
12
Licensed in
IL
In the registry since
2016
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

3401 N Perryville Rd
Rockford, IL 61114-8011
Phone: (815) 971-3610
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 820 Rte 59 Ste A, Bartlett, IL 60103-1300 — (630) 483-5930

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 036.150303 (IL)

Record details

NPI number1902255656
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 3, 2016
Last updated in NPPESSeptember 13, 2024
Certification dateSeptember 9, 2024
Mailing address820 Rte 59 Ste A, Bartlett, IL 60103-1300

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Central Dupage Physician Group — 1094 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Rockford