Look up the most recent NPI and PECOS records

Savan Shah

Surgery

Allopathic & Osteopathic Physicians

1620 W Harrison St, Chicago, IL 60612-3801

PECOS Enrollment

Based on the most recent information from CMS, provider Savan Shah is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1104456888
Provider Type
Individual
Full Name
Shah, Savan
Gender
Male

Sole Proprietor
No
Enumeration Date
1/22/2020
Last Updated
6/24/2021

Contact Information

Practice Location

1620 W Harrison St, Chicago, IL 60612-3801

(888) 352-7874

Unlisted Fax

Mailing Location

1620 W Harrison St, Chicago, IL 60612-3801

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 208600000X Primary	Description Surgery Allopathic & Osteopathic Physicians	License 125-078845 Illinois

Savan Shah

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Jaber, Camaleigh

Bonomo, Steven R

Friedman, Lindsay Rae

Marcus, Elizabeth Ann

Gerard, Justin

Berman, Kevin

Cross-Najafi, Arthur

Orsay, Charles Preston

Conley, William

Forristall, Hannah Jean