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

Soniya A Shah

Individual provider Physician Assistant · NPI 1619586096

Soniya A Shah is a Physician Assistant in Crystal Lake, Illinois. Qualified in 2020, 6 years ago. Practices with Suburban Surgical Care Specialists SC, an 11-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
6
Licensed in
IL
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

525 E Congress Pkwy Ste 300
Crystal Lake, IL 60014-6258
Phone: (815) 759-9260
Fax: (815) 459-7840
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 4885 Hoffman Blvd Ste 400, Hoffman Estates, IL 60192-3727 — (847) 255-9697
  • 1819 Carew St, Fort Wayne, IN 46805-4705 — (260) 665-4100

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085.008170 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1619586096
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 30, 2020
Last updated in NPPESDecember 10, 2025
Certification dateDecember 10, 2025
Mailing address29373 Network Pl, Chicago, IL 60673-1293

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Suburban Surgical Care Specialists Sc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Crystal Lake