Medicare Enrolled

Dr. Niraj Shah, M.D.

Internal Medicine · Joliet, IL
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
2025 S CHICAGO ST, Joliet, IL 60436
8157262200
Registered in NPPES since 2010
NPI: 1215248067 verify on NPPES ↗
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating. This page presents federal public records about Dr. Shah from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
Are you Dr. Shah? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Shah

Dr. Niraj Shah is an internal medicine specialist in Joliet, IL, with 16 years of NPI registration. Based on federal Medicare data, Dr. Shah performed 899 Medicare services in 2023. These records do not provide a deduplicated patient total.

Between the years covered by Open Payments, Dr. Shah received a total of $6,980 from 43 pharmaceutical and/or device companies across 452 payment records. A record can group multiple payments. These transfers are publicly reported through CMS Open Payments. Disclosure alone does not establish their effect on care. A reliable breakdown by payment category is not available in this snapshot. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Shah is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 16 years of NPI registration ▲ Top 40% volume in IL $6,980 industry payments

Medicare Practice Summary — 2023

Medicare Utilization ↗
899
Medicare services
Top 40% in IL for internal medicine
Not available
Unique patients (not deduplicated)
$71
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →

Top procedures by volume

Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.

Procedure Volume Avg. paid Avg. submitted
Office visit, established patient (30-39 min)
A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition.
358 $82 $347
Office visit, established patient (20-29 min)
An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition.
114 $56 $238
Annual wellness visit, follow-up
A follow-up annual wellness visit that includes a personalized prevention plan of service.
114 $133 $344
Annual depression screening 68 $19 $58
Office visit, established patient (10-19 min)
An office visit for an existing patient lasting 10 to 19 minutes. The visit involves medical evaluation and management of the patient's condition.
67 $41 $104
Annual alcohol misuse screening, 5 to 15 minutes 56 $19 $58
Hemoglobin A1c test (diabetes monitoring)
A blood test that measures your average blood sugar levels over the past two to three months.
41 $8 $28
Hospital follow-up visit, moderate complexity
Follow-up hospital visit for an existing patient involving moderate medical decision making. The visit requires at least 35 minutes of time spent on the date of service.
30 $65 $233
Echocardiogram, transthoracic
An ultrasound of the heart that uses color to show blood flow, rate, direction, and valve function.
21 $145 $667
Flu vaccine administration
This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient.
18 $32 $58
Annual wellness visit, initial visit
A yearly appointment to review your health and create a personalized prevention plan. This initial visit focuses on preventive care and health assessment.
12 $171 $529
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. These counts do not measure clinical quality or years of experience.
2.3% high complexity
0.0% medium
97.7% routine

Industry Payment Transparency

Open Payments through 2024 ↗
$6,980
Total received (2018-2024)
Avg $997/year across 7 years
Top 10% in IL for internal medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
43
Companies
452
Payment records
Payments are publicly reported; disclosure does not establish legality · Not evidence of wrongdoing · How to interpret →

Payment categories are unavailable while the source breakdown is being rebuilt. Company and year totals do not identify how much belongs to each category.

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$661
2023
$1,415
2022
$922
2021
$1,239
2020
$494
2019
$1,103
2018
$1,145

Payments by company (2024)

ABBVIE INC.
$230
AstraZeneca Pharmaceuticals LP
$178
PFIZER INC.
$80
Gilead Sciences, Inc.
$71
GlaxoSmithKline, LLC.
$29
Inspire Medical Systems, Inc.
$25
AIMMUNE THERAPEUTICS, INC.
$18
E.R. Squibb & Sons, L.L.C.
$16
Exact Sciences Corporation
$14
Top 3 companies account for 73.7% of 2024 payments
All-time payments by company (2018-2024) ›
AstraZeneca Pharmaceuticals LP
$738
Janssen Pharmaceuticals, Inc
$720
PFIZER INC.
$699
AbbVie Inc.
$656
ABBVIE INC.
$432
NESTLE HEALTHCARE NUTRITION INC.
$369
Nestle HealthCare Nutrition Inc.
$332
GlaxoSmithKline, LLC.
$306
Novartis Pharmaceuticals Corporation
$301
Novo Nordisk Inc
$283
SANOFI-AVENTIS U.S. LLC
$228
Boehringer Ingelheim Pharmaceuticals, Inc.
$214
Gilead Sciences, Inc.
$213
Amgen Inc.
$149
Merck Sharp & Dohme Corporation
$142
Otsuka America Pharmaceutical, Inc.
$120
Lilly USA, LLC
$120
CyMedica Orthopedics, Inc.
$101
Horizon Therapeutics plc
$99
Bayer HealthCare Pharmaceuticals Inc.
$88
Medtronic Vascular, Inc.
$80
E.R. Squibb & Sons, L.L.C.
$72
Merck Sharp & Dohme LLC
$50
Allergan Inc.
$47
Biohaven Pharmaceutical Holding Company Ltd.
$41
Allergan, Inc.
$35
Sunovion Pharmaceuticals Inc.
$35
Medtronic, Inc.
$32
Hologic, LLC
$28
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$28
Inspire Medical Systems, Inc.
$25
RedHill Biopharma Inc.
$24
Medtronic MiniMed, Inc.
$20
AIMMUNE THERAPEUTICS, INC.
$18
Biogen, Inc.
$18
ACADIA Pharmaceuticals Inc
$17
Philips Electronics North America Corporation
$17
Neurocrine Biosciences, Inc.
$15
Exact Sciences Corporation
$14
DEXCOM, INC.
$14
Teva Pharmaceuticals USA, Inc.
$14
Takeda Pharmaceuticals U.S.A., Inc.
$13
Amarin Pharma Inc.
$11
Top 3 companies account for 30.9% of all-time payments
Associated products mentioned in payments ›
AIRSUPRA · ANORO · APTIMA · AREXVY · AUSTEDO · Aimovig · Aptima HPV · BASAGLAR · BREZTRI · BREZTRI AEROSPHERE · BYSTOLIC · CHANTIX · COMIRNATY · CREON · ClosureFast · Cologuard Collection Kit · DALVANCE · DEXCOM G6 TRANSMITTER · DUEXIS · ELIQUIS · EMGALITY · ENTRESTO · EVENITY · FARXIGA · INGREZZA · INSPIRE · INVEGA SUSTENNA · INVOKAMET · INVOKANA · JANUVIA · JARDIANCE · KRYSTEXXA · Kerendia · LINZESS · LONHALA MAGNAIR · LYRICA · MOVANTIK · Minimed 770G System · Movantik · NUPLAZID · NURTEC ODT · Ozempic · PENNSAID · PREVNAR - 13 · PREVNAR 20 · Prolia · QULIPTA · REXULTI · Repatha · SHINGRIX · SOLIQUA · SOLIQUA 100/33 · SPINRAZA · STEGLATRO · STEGLUJAN · SYMBICORT · Saxenda · TOUJEO · TOVIAZ · TRELEGY ELLIPTA · TRULICITY · Tresiba · Trilogy 100 · UBRELVY · VIAGRA · VIBERZI · VRAYLAR · VYVANSE · Vascepa · Victoza · XARELTO · XIFAXAN · ZENPEP · iPro2
Should you be concerned? Industry payments are disclosed through CMS Open Payments. Disclosure alone does not establish their purpose, legality, or effect on care. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →
Looking for an internal medicine specialist in Joliet?
Compare internal medicine physicians in the Joliet area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Internal medicine physicians in nearby ZIP areas
977
County median income
$107,799
Nearest hospital to ZIP centroid (approximate)
SAINT JOSEPH MEDICAL CENTER
4.1 mi

Data Sources

Provider Registry NPPES NPPES snapshot; verify current record
Medicare Enrollment PECOS PECOS snapshot
Practice Data Medicare Util. Annual (CY lag)
Industry Payments Open Payments CY 2024
Disciplinary History — Not included N/A

This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →

Summary

Dr. Shah is a clinical cardiology specialist, with moderate Medicare volume, with 16 years of NPI registration.

This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →

Frequently Asked Questions

Is Dr. Shah experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Shah performed 358 office visit, established patient (30-39 min) services. These records cover Medicare fee-for-service activity, including eligible younger beneficiaries; they do not measure total practice volume or clinical quality.
Does Dr. Shah receive payments from pharmaceutical companies?
Yes. Dr. Shah received a total of $6,980 from 43 companies across 452 payment records. A record can group multiple payments. These transfers are publicly disclosed through CMS Open Payments. Disclosure alone does not establish their legality or effect on care. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Shah's costs compare to other internal medicine physicians in Joliet?
Dr. Shah's average Medicare payment per service is $71. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Shah) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating the presence of registry, enrollment, activity or payment records, not verified experience or clinical quality. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Source publication dates and the snapshots loaded on this site can differ. Rebuilding a page does not refresh its source records. Check the Medicare reporting year and the payment interval shown above; consult the linked official sources for newer releases and current registry details. See our data freshness policy →
About this page

This page combines public CMS records with calculated summaries and explanatory procedure labels. These transformations are not verbatim federal records. Sources: NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.

This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.

Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology

Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Industry payment disclosure alone establishes neither wrongdoing nor legality. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →