Shalom Health Care Center, Inc.

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

SHALOM HEALTH CARE CENTER, INC.

Doing business as

Shalom 56th Street-New Access Point

Practice address

5750 W 56TH St
Indianapolis, IN 46254-1695

Phone

(317) 291-7422

Fax

(317) 291-4912

NPI assigned

Feb 12, 2016

Last updated

Mar 30, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Leonardo R Ortega, M.D., M.P.H.

Title

Ceo/Executive Director

Phone

(317) 291-7422

Specialties & licenses 9

Addresses

Other identifiers 2

Other names 1

• Shalom 56th Street-New Access Point Doing business as

Medicare fee-for-service enrollment

Enrolled in IN2 enrollments

Enrollment records 2

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1003275512. Details of each certification follow.

• CCN 151969 Federally qualified health center · Active · Details

Federally qualified health center certification: CCN 151969

Legal name

SHALOM HEALTH CARE CENTER INC

Doing business as

SHALOM 56TH STREET - NEW ACCESS POINT

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Feb 15, 2016

Last certification

Feb 15, 2016

Ownership / control type

For profit – corporation

Organization structure

CorporationNon-profit

Incorporated

Aug 27, 2002 in IN

Enrollment address

5750 W 56TH St
Indianapolis, IN 46254-1695

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Shalom Health Care Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Indianapolis, IN
  • NPI 1770267486

  3779471750

  Same PAC ID
• Shalom Health Care Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Indianapolis, IN
  • NPI 1992924633

  3779471750

  Same PAC ID

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Shalom Health Care Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Indianapolis, IN
  • NPI 1538167036

  O20040621000467

  Same enrollment
• Shalom Health Care Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Indianapolis, IN
  • NPI 1770267486

  O20040621000467

  Same enrollment
• Shalom Health Care Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Indianapolis, IN
  • NPI 1982242327

  O20040621000467

  Same enrollment
• Shalom Health Care Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Indianapolis, IN
  • NPI 1992924633

  O20040621000467

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BAJHAA

All disclosed owners & managing parties 7

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

All facility ownership & control disclosures 5

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Shalom Health Care Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Indianapolis, IN
  • NPI 1992924633

  5% Or Greater Direct Ownership Interest, Operational/Managerial Control

  CMS ownership

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lyle R Cortez, D.O.

  • Family Medicine Physician
  • Indianapolis, IN
  • NPI 1295960805
  NPD
• Andrea Hoskins, NP-C

  • Family Nurse Practitioner
  • Indianapolis, IN
  • NPI 1316544166
  NPD
• Allison Marie McCarley, FNP-C

  • Nurse Practitioner
  • Indianapolis, IN
  • NPI 1023771961
  NPD
• Krystal Marie Wullschleger, FNP-C

  • Family Nurse Practitioner
  • Indianapolis, IN
  • NPI 1144988239
  NPD
• Karina M White, PA-C

  • Medical Physician Assistant
  • Aurora, CO
  • NPI 1235386327
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1455235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774828800000",
    "number": "1003275512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 LAFAYETTE RD STE 200",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462221147",
            "telephone_number": "317-291-7422",
            "fax_number": "317-291-4912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5750 W 56TH ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462541695",
            "telephone_number": "317-291-7422",
            "fax_number": "317-291-4912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHALOM HEALTH CARE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-12",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-30",
        "status": "A",
        "authorized_official_last_name": "ORTEGA",
        "authorized_official_first_name": "LEONARDO",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO/EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "317-291-7422",
        "authorized_official_credential": "M.D., M.P.H."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200392480J",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200392480",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shalom 56th Street-New Access Point",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Shalom 56th Street-New Access Point",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael Shain, DO
• Xavier Shakes
• Ashton Brianne Shale, M.A.
• Julia Alex Shalit, D.D.S.
• Denise L. Shalkowski, NP
• Shalom Health Care Center, Inc.
• Shalom Health Care Center, Inc.
• Shalom Health Care Center, Inc.
• Shalom Health Care Center, Inc.
• Man Kung James Sham

• Federally Qualified Health Center (FQHC) in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Federally Qualified Health Center (FQHC) in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.