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

Individual provider Emergency Medicine Physician · NPI 1578754354

Dr. Prakriti Shah, DO is an Emergency Medicine in Rockford, Illinois. Graduated from New York College of Osteo Medicine of New York Institute of Technology in 2003, 23 years ago. Practices with Freeport Memorial Hospital, a 140-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois and New York.

Years since qualifying
23
Trained at
New York College of Osteo Medicine of New York Institute of Technology
Licensed in
IL, NY
In the registry since
2007
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

5666 E State St
Rockford, IL 61108-2425
Phone: (815) 226-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1045 W Stephenson St, Freeport, IL 61032-4864 — (815) 599-6000

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 036122183 (IL)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 242674 (NY)

Record details

NPI number1578754354
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorYes
NPI enumeratedAugust 6, 2007
Last updated in NPPESApril 20, 2026
Certification dateApril 20, 2026

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolNEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated 2003 (23 years in practice)
Group practice Freeport Memorial Hospital — 140 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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