Active NPI
Anusha Gopalkrishna Shanbhag
- Cardiovascular Disease Physician
- Edgewood, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 56945
- Practice address
- 711 Medical Village Drive
Edgewood, KY 41017-3439 - Phone
- (859) 287-3045
- Fax
- (859) 578-3800
- NPI assigned
- Jul 6, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 01087807A | IN | |
| Cardiovascular Disease Physician | 207RC0000X | 56945 | KY | Primary |
Addresses
Primary practice location
711 Medical Village Drive
Edgewood, KY 41017-3439
Mailing address
P.O. Box 636324
Cincinnati, OH 45263-6324
Phone (859) 344-5555
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Summit Medical Group Inc
Practice addresses (Care Compare)
1500 James Simpson Jr Way
Covington, KY 41011-0800
Phone (859) 655-4111
606 Wilson Creek Rd
Lawrenceburg, IN 47025-1095
Phone (812) 496-4800
711 Medical Village Dr
Edgewood, KY 41017-3439
Phone (859) 301-9010
Hospital & facility affiliations
- St Elizabeth Edgewood
- St Elizabeth Dearborn Hospital
- St Elizabeth Ft Thomas
- St Elizabeth Florence
- St Elizabeth Grant
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.01 of 100
- Quality
- 86.02
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 56945 | KY | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Medical Group, Inc | Current | Accepting new patients | |
| Summit Medical Group, Inc. | Current | Accepting new patients | |
| Summit Medical Group, Inc | Current | Accepting new patients | |
| St Elizabeth Medical Center, Inc | Current | Accepting new patients | |
| St Elizabeth Medical Center, Inc | Current | Accepting new patients |
Locations
204 Bridgeway St
Aurora, IN 47001
Phone (812) 926-3133
1640 Flossie Dr
Lawrenceburg, IN 47025
Phone (812) 496-3285
600 Wilson Creek Rd
Lawrenceburg, IN 47025
Phone (812) 532-2700
606 Wilson Creek Rd
Lawrenceburg, IN 47025
Phone (812) 537-5558
1500 James Simpson Jr Way
Covington, KY 41011
Phone (859) 655-4353
711 Medical Village Dr
Edgewood, KY 41017
Phone (859) 287-3045
1 Medical Village Dr
Edgewood, KY 41017
Phone (859) 301-2000
7388 Turfway Rd
Florence, KY 41042
Phone (606) 331-9000
4900 Houston Rd
Florence, KY 41042
Phone (859) 212-5200
85 N Grand Ave
Fort Thomas, KY 41075
Phone (859) 572-3100
1980 Litton Ln
Hebron, KY 41048
Phone (859) 334-8700
300 Barnes Rd
Williamstown, KY 41097
Phone (859) 824-8217
238 Barnes Rd
Williamstown, KY 41097
Phone (859) 292-4000
Interoperability endpoints
- ashanbhag382768@direct-prd.stelizabeth.com
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Erlanger, KY
- NPI 1750343216
-
- Community/Retail Pharmacy
- Florence, KY
- NPI 1104699453
-
- Foot & Ankle Surgery Podiatrist
- Crestview Hills, KY
- NPI 1043188378
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Williamstown, KY
- NPI 1114974813
-
- General Acute Care Hospital
- Florence, KY
- NPI 1154365062
-
- General Acute Care Hospital
- Edgewood, KY
- NPI 1467492421
-
- General Acute Care Hospital
- Fort Thomas, KY
- NPI 1740221795
-
- General Acute Care Hospital
- Lawrenceburg, IN
- NPI 1326142498
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1766016000000",
"number": "1205219516",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 636324",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452636324",
"telephone_number": "859-344-5555",
"fax_number": "859-344-5552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "711 MEDICAL VILLAGE DRIVE",
"city": "EDGEWOOD",
"state": "KY",
"postal_code": "410173439",
"telephone_number": "859-287-3045",
"fax_number": "859-578-3800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHANBHAG",
"first_name": "ANUSHA",
"middle_name": "GOPALKRISHNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-07-06",
"last_updated": "2025-12-18",
"certification_date": "2025-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "IN",
"license": "01087807A",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "KY",
"license": "56945",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Edgewood, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.