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

Ravi M. Shah

Individual provider Family Medicine Physician · NPI 1326579103

Ravi M. Shah is a Sports Medicine in Tinley Park, Illinois. Qualified in 2017, 9 years ago. Practices with Endeavor Health Medical Group, a 3,348-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
9
Licensed in
IL
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

7543 183rd St
Tinley Park, IL 60477-6208
Phone: (708) 263-2000
Fax: (708) 263-2023
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 7900 Rollins Rd Ste 1400, Gurnee, IL 60031-1512 — (847) 866-7846

Specialties & licences

Sports Medicine (Family Medicine) Physician (primary) Taxonomy 207QS0010X · Licence 036.149951 (IL)
Family Medicine Physician Taxonomy 207Q00000X · Licence 125.070237 (IL)

Record details

NPI number1326579103
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 23, 2017
Last updated in NPPESMay 6, 2024
Certification dateMay 6, 2024
Mailing address7900 Rollins Rd Ste 1400, Gurnee, IL 60031-1512

Medicare enrollment

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

Medicare specialtySPORTS MEDICINE
Also practisesFAMILY PRACTICE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Endeavor Health Medical Group — 3348 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Tinley Park