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

Individual provider Emergency Medicine Physician · NPI 1780971333

Dr. Pavitra Kotini-Shah, MD is an Emergency Medicine in Chicago, Illinois. Graduated from Eastern Virginia Medical School in 2011, 15 years ago. Practices with The Board of Trustees of the University of Illinois, a 1,142-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
15
Trained at
Eastern Virginia Medical School
Licensed in
IL
In the registry since
2011
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

914 S Wood St
Chicago, IL 60612-7337
Phone: (248) 898-2001
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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 036134809 (IL)

Record details

NPI number1780971333
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 5, 2011
Last updated in NPPESApril 3, 2019

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolEASTERN VIRGINIA MEDICAL SCHOOL
Graduated 2011 (15 years in practice)
Group practice The Board Of Trustees Of The University Of Illinois — 1142 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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