NPIMap

Individual provider Active NPI

Dipen V Shah, M.D.

  • Internal Medicine Physician
  • Terre Haute, IN
National Provider Identifier
1093804874
Registry record updated Jul 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
BS7474149 Issued in IN
Practice address
1332 N 7TH St
Terre Haute, IN 47807-1004
Phone
(812) 478-8888
Fax
(812) 478-1114
NPI assigned
Oct 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X BS7474149 IN Primary

Addresses

Primary practice location

1332 N 7TH St
Terre Haute, IN 47807-1004

Mailing address

718 Richland Dr
Terre Haute, IN 47802-9026
Phone (812) 478-8888

Other identifiers 5

IdentifierTypeStateIssuer
200329680MedicaidIN
352137349OtherINTAX ID
P01045888OtherINRAILROAD MEDICARE
000000201040OtherINCOMMERICAL
110229100OtherINRR MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040622000057 IN Practitioner - Internal Medicine 5799760021 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Union Hospital IncGroup PAC ID 8426943614, 90 clinicians
Galen Inpatient Physicians PCGroup PAC ID 3678464633, 1,045 clinicians

Practice addresses (Care Compare)

1332 N 7TH St
Union Hospital Inc Medical Group
Terre Haute, IN 47807-1004
Phone (812) 478-4448

1606 N 7TH St
Terre Haute, IN 47804-2706

601 E Surgery Ctr Dr
Terre Haute, IN 47802-6815
Phone (812) 235-1200

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sound Physicians of Indiana, LLC Internal Medicine CurrentSince May 23, 2017 Accepting new patients
Illiana Internal Medicine, L.L.C. CurrentSince Sep 1, 2003 Accepting new patients
Union Hospital, Inc. CurrentSince Sep 1, 2011 Accepting new patients
Sound Physicians of Indiana, LLC Internal Medicine CurrentSince May 23, 2017 Accepting new patients
Galen Inpatient Physicians, PC Internal Medicine CurrentSince Apr 1, 2023 Accepting new patients
Galen Inpatient Physicians PC CurrentSince Apr 1, 2023 Accepting new patients
Union Hospital Inc. Current Accepting new patients
Union Hospital, Inc. CurrentSince Sep 1, 2011 Accepting new patients

Locations

5215 Holy Cross Pkwy
Mishawaka, IN 46545
Phone (574) 335-2443

1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523

1332 N 7th St
Terre Haute, IN 47807
Phone (812) 478-5003

Interoperability endpoints

  • Direct secure messaging: dshah@unionhealth.cernerdirect.com

Organizations & group practices 8

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.

Hospital & facility affiliations 12

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": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342656000000",
    "number": "1093804874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "718 RICHLAND DR",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478029026",
            "telephone_number": "812-478-8888",
            "fax_number": "812-478-1114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1332 N 7TH ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478071004",
            "telephone_number": "812-478-8888",
            "fax_number": "812-478-1114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "DIPEN",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2012-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "BS7474149",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200329680",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "352137349",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01045888",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERICAL",
            "identifier": "000000201040",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "110229100",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Terre Haute, IN

Sources for this page

Verify at the official NPI Registry.