Individual provider Active NPI

Aaditya Vijay Shah, MD

  • Retina Specialist (Ophthalmology) Physician
  • Merrillville, IN
National Provider Identifier
1124688221
Registry record updated Jul 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
01095570A Issued in IN
Practice address
8895 Broadway
Merrillville, IN 46410-7037
Phone
(219) 259-1760
Fax
(219) 259-1767
NPI assigned
Jun 19, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Retina Specialist (Ophthalmology) Physician 207WX0107X 2023016112 MO
Retina Specialist (Ophthalmology) Physician 207WX0107X 01095570A IN Primary

Addresses

Primary practice location

8895 Broadway
Merrillville, IN 46410-7037

Mailing address

8895 Broadway
Merrillville, IN 46410-7037
Phone (219) 259-1760

Other identifiers 1

IdentifierTypeStateIssuer
200073153MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230803002445 MO Practitioner - Ophthalmology 1850627076 Reassigns benefits to 1 organization
I20250703003862 IN Practitioner - Ophthalmology 1850627076 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Indiana University School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8895 Broadway
Merrillville, IN 46410-7037
Phone (219) 895-1111

Hospital & facility affiliations

  • Methodist Hospitals Inc Hospital, Gary, IN, CCN 150002

Merit-based Incentive Payment System (MIPS)

Final score
84.2 of 100Reported as group
Quality
71.6
Promoting interoperability
100
Improvement activities
40
Cost
75.75

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Washington University CurrentSince Jul 5, 2023 Accepting new patients
Washington University CurrentSince Jul 5, 2023 Accepting new patients
Northwest Indiana Retina Institute LLC Retina Specialist CurrentSince Jul 1, 2025 Accepting new patients
Washington University Physicians in Illinois, Inc Past Accepting new patients

Locations

8895 Broadway
Merrillville, IN 46410
Phone (219) 738-2081

660 S Euclid Ave
Saint Louis, MO 63110

517 S Euclid Ave
Saint Louis, MO 63110
Phone (314) 362-3431

4901 Forest Park Ave
Fl 6
Saint Louis, MO 63108

660 S Euclid Ave
#8096
Saint Louis, MO 63110
Phone (314) 362-3935

Interoperability endpoints

  • Direct secure messaging: ashah@nwiri.intellechartdirect.net

Organizations & group practices 4

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 1

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": "1560902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753747200000",
    "number": "1124688221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8895 BROADWAY",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464107037",
            "telephone_number": "219-259-1760",
            "fax_number": "219-259-1767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8895 BROADWAY",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464107037",
            "telephone_number": "219-259-1760",
            "fax_number": "219-259-1767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "AADITYA",
        "middle_name": "VIJAY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-19",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "MO",
            "license": "2023016112",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "IN",
            "license": "01095570A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200073153",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrillville, IN

Sources for this page

Verify at the official NPI Registry.