Shelby Lynn Allen, M.D.
Individual provider Active NPI Surgery Physician · Indianapolis, IN
NPI 1013397405 · NPPES record last updated Jul 23, 2021
Key facts
- NPI
- 1013397405
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgery Physician 208600000X
- License
- 01083846A (IN)
- Practice address
- 550 University Blvd
Indianapolis, IN 46202-5149 - Phone
- (317) 274-0283
- NPI assigned
- Jun 1, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 15
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- General Surgery
- Education
- Wake Forest University School of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Duke Health Integrated Practice Inc
Practice addresses (Care Compare)
1002 N Church St
Greensboro, NC 27401-1439
Phone (919) 684-8111
40 Duke Medicine Cir
Durham, NC 27710-4000
Phone (919) 684-8111
Hospital & facility affiliations
- Moses H. Cone Memorial Hospital, the
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210813002461 | NC | Practitioner - General Surgery | 7810297926 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LL38246 | SC | MD | Surgery Physician |
Practice roles (1 of 2)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Duke Health Integrated Practice, Inc. | Current |
Accepting new patients |
Locations
2905 Crouse Ln
Burlington, NC 27215
Phone (336) 538-2494
2905 Crouse Ln
Ste 201
Burlington, NC 27215
Phone (336) 387-8100
40 Duke Medicine Cir
Durham, NC 27710
Phone (919) 681-6588
1126 N Church St
Ste 203
Greensboro, NC 27401
Phone (336) 235-0944
1002 N Church St
Greensboro, NC 27401
Phone (336) 379-7413
1002 N Church St
Ste 302
Greensboro, NC 27401
Phone (336) 387-8100
Networks
- devoted network organization-92131eb0-09f2-4173-a140-cf7b381f0cf1
Interoperability endpoints
- sallen36@direct.iuhealth.org
- sallen519545@direct.medicine.duke.edu
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | LL38246 | SC | |
| Surgery Physician | 208600000X | 01083846A | IN | Yes |
Addresses
Primary practice location
550 University Blvd
Indianapolis, IN 46202-5149
Mailing address
1002 N Church St
Ste 302
Greensboro, NC 27401-1449
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | SALLEN36@direct.iuhealth.org |
Other providers in Indianapolis, IN
- Morgan Allen
- Rachel K Allen
- Raleigh Faith Allen
- Robin Allen
- Ronald K. Allen
- Shemia Allen
- Sheryl Allen
- Stephen L Allen
- Tamara L Allen
- Tammy Michelle Allen
All providers in Indianapolis, IN · Surgery Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 23, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.