Individual provider Active NPI

Shilpa Puri, MD

  • Child & Adolescent Psychiatry Physician
  • Anderson, IN
National Provider Identifier
1013446061
Registry record updated Jan 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
01082927A Issued in IN
Practice address
3125 S Scatterfield Rd Ste 200
Anderson, IN 46013-1804
Phone
(765) 298-4600
NPI assigned
Jun 5, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 01082927A IN Primary

Addresses

Primary practice location

3125 S Scatterfield Rd Ste 200
Anderson, IN 46013-1804

Mailing address

3125 S Scatterfield Rd
Anderson, IN 46013-1802

Other practice location 1

322 N Main St
Kokomo, IN 46901-4622
Phone (765) 776-8555

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
I20200518003117 IN Practitioner - Psychiatry 3476821091 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

322 N Main St
Kokomo, IN 46901-4622
Phone (765) 453-8555

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01082927AINMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Physicians of Indiana Inc CurrentSince Jul 1, 2022 Accepting new patients
Community Health Network, Inc Current Accepting new patients
Community Health Network, Inc CurrentSince Jul 1, 2022 Accepting new patients
Community Howard Regional Health Inc CurrentSince Jul 1, 2022 Accepting new patients
Community Physicians of Indiana Inc CurrentSince Jul 1, 2022 Accepting new patients
Community Health Network, Inc. PastSince Oct 23, 2022 Accepting new patients
Major Hospital Past Accepting new patients

Locations

5819 Reliable Pkwy
Chicago, IL 60686

3125 S Scatterfield Rd
Ste 200
Anderson, IN 46013
Phone (765) 298-4600

205 N Jackson St
Frankfort, IN 46041
Phone (765) 659-4771

7120 Clearvista Dr
Ste 4000
Indianapolis, IN 46256
Phone (317) 621-7444

7165 Clearvista Way
Indianapolis, IN 46256
Phone (317) 621-5100

6626 E 75th St
Ste 500
Indianapolis, IN 46250
Phone (317) 621-7547

6950 Hillsdale Ct
Indianapolis, IN 46250
Phone (317) 621-7533

322 N Main St
Kokomo, IN 46901
Phone (765) 453-8238

Interoperability endpoints

  • Direct secure messaging: spuri515755@ecommunitydirect.com

Organizations & group practices 7

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

NPI Registry JSON

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

{
    "created_epoch": "1496620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706572800000",
    "number": "1013446061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3125 S SCATTERFIELD RD",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460131802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3125 S SCATTERFIELD RD STE 200",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460131804",
            "telephone_number": "765-298-4600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "322 N Main St",
            "address_purpose": "LOCATION",
            "city": "Kokomo",
            "state": "IN",
            "postal_code": "469014622",
            "country_code": "US",
            "telephone_number": "765-776-8555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PURI",
        "first_name": "SHILPA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-05",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "IN",
            "license": "01082927A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, IN

Sources for this page

Verify at the official NPI Registry.