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

Dr. Samir K Shah, MD

Individual provider Adolescent Medicine (Internal Medicine) Physician · NPI 1427072768

Dr. Samir K Shah, MD is a Cardiovascular Disease (Cardiology) in Maryville, Illinois. Qualified in 1979, 47 years ago. Practices with Fairview Heights Medical Group SC, a 448-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
47
Licensed in
IL
In the registry since
2006
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

6810 State Route 162 Ste 102
Maryville, IL 62062-8560
Phone: (618) 288-4076
Fax: (618) 288-4215
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 4600 Memorial Dr Ste 300, Belleville, IL 62226-5363 — (618) 233-3066
  • 2350 N Rockton Ave, Rockford, IL 61103-3600 — (815) 971-2200

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence 036-063403 (IL)
Adolescent Medicine (Internal Medicine) Physician Taxonomy 207RA0000X · Licence 036-063403 (IL)
Geriatric Medicine (Internal Medicine) Physician Taxonomy 207RG0300X · Licence 036-063403 (IL)

Record details

NPI number1427072768
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 27, 2006
Last updated in NPPESNovember 25, 2025
Certification dateNovember 25, 2025

Medicare enrollment

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

Medicare specialtyCARDIOVASCULAR DISEASE (CARDIOLOGY)
Also practisesGERIATRIC MEDICINE, INTERNAL MEDICINE
Medical schoolOTHER
Graduated 1979 (47 years in practice)
Group practice Fairview Heights Medical Group Sc — 448 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount