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

Pratish Ajay Shah, MD

Individual provider Neuroradiology Physician · NPI 1104142512

Pratish Ajay Shah, MD is a Diagnostic Radiology in Springfield, Illinois. Qualified in 2008, 18 years ago. Practices with Springfield Clinic, LLP, a 679-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois and North Carolina.

Years since qualifying
18
Licensed in
IL, NC
In the registry since
2010
Specialties on file
3
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

1025 S 6th St
Springfield, IL 62703-2499
Phone: (217) 528-7541
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3186 Village Dr Ste 201, Fayetteville, NC 28304-3979 — (910) 486-5700

Specialties & licences

Neuroradiology Physician (primary) Taxonomy 2085N0700X · Licence 036137694 (IL)
Neuroradiology Physician Taxonomy 2085N0700X · Licence 2020-02657 (NC)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 2020-02657 (NC)

Record details

NPI number1104142512
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 9, 2010
Last updated in NPPESApril 22, 2026
Certification dateApril 22, 2026

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Springfield Clinic, Llp — 679 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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