Individual provider Active NPI

Shahzad A Parvaz, MD

  • Psychiatry Physician
  • Terre Haute, IN
National Provider Identifier
1003878133
Registry record updated Jan 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
01058702A Issued in IN
Practice address
4511 S 7TH St
Terre Haute, IN 47802-4503
Phone
(812) 917-5109
Fax
(812) 917-5071
NPI assigned
Apr 4, 2006
Last updated
Jan 27, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 01058702A IN Primary

Addresses

Primary practice location

4511 S 7TH St
Terre Haute, IN 47802-4503

Mailing address

4511 S 7TH St
Terre Haute, IN 47802-4503
Phone (812) 917-5109

Other identifiers 2

IdentifierTypeStateIssuer
000000477987OtherINBCBS
200106270MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040908001058 IN Practitioner - Psychiatry 7012806466 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wabash Valley Psychiatry LLCGroup PAC ID 1254474588, 2 clinicians

Practice addresses (Care Compare)

609 E Surgery Ctr Dr
Terre Haute, IN 47802-6815
Phone (812) 917-5091

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Promoting interoperability
99
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01058702AINMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wabash Valley Psychiatry, LLC Psychiatry CurrentSince Dec 20, 2006 Accepting new patients
Paras Harshawat, MD Psychiatry Past Accepting new patients

Locations

4511 S 7th St
Terre Haute, IN 47802
Phone (812) 917-5091

609 E Surgery Center Dr
Terre Haute, IN 47802
Phone (812) 232-0725

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1144108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359244800000",
    "number": "1003878133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4511 S 7TH ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478024503",
            "telephone_number": "812-917-5109",
            "fax_number": "812-917-5071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4511 S 7TH ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478024503",
            "telephone_number": "812-917-5109",
            "fax_number": "812-917-5071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARVAZ",
        "first_name": "SHAHZAD",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-04",
        "last_updated": "2013-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IN",
            "license": "01058702A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000000477987",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200106270",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Terre Haute, IN

Sources for this page

Verify at the official NPI Registry.