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

Pooja V Shah

Individual provider Nurse Practitioner · NPI 1558951731

Pooja V Shah is a Nurse Practitioner in Crystal Lake, Illinois. Qualified in 2020, 6 years ago. Practices with Midwest Anesthesia and Pain Specialists SC, an 18-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
6
Licensed in
IL
In the registry since
2021

Practice location Address checks out

1305 Randall Rd
Crystal Lake, IL 60014-8601
Phone: (815) 356-0386
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 209022712 (IL)

Record details

NPI number1558951731
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 21, 2021
Last updated in NPPESSeptember 28, 2021
Certification dateSeptember 28, 2021
Mailing address1305 Randall Rd, Crystal Lake, IL 60014-8601

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Midwest Anesthesia And Pain Specialists Sc — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Crystal Lake