NPIMap

Individual provider Active NPI

Kushal J Shah, M.D.

  • Neurological Surgery Physician
  • Greenwood, IN
National Provider Identifier
1285955401
Registry record updated Apr 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
01078267A Issued in IN
Practice address
555 E County Line Rd Ste 202
Greenwood, IN 46143-1063
Phone
(317) 396-1300
Fax
(317) 317-3418
NPI assigned
Jun 22, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 01078267A IN Primary

Addresses

Primary practice location

555 E County Line Rd Ste 202
Greenwood, IN 46143-1063

Mailing address

13345 Illinois St
Carmel, IN 46032-3318
Phone (317) 396-1300

Other identifiers 1

IdentifierTypeStateIssuer
01078267AOtherINMD LICENSE

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
I20170518000459 IN Practitioner - Neurosurgery 3577881028 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
University of Missouri, Kansas City, School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Indianapolis Neurosurgical Group PCGroup PAC ID 0941191282, 49 clinicians

Practice addresses (Care Compare)

13345 Illinois St
Carmel, IN 46032-3318
Phone (317) 396-1451

426 S Alabama St
Suite 200
Indianapolis, IN 46225-3301
Phone (317) 396-1300

555 E County Line Rd
Suite 202
Greenwood, IN 46143-1063
Phone (317) 396-1300

Hospital & facility affiliations

  • Franciscan Health Indianapolis Hospital, Indianapolis, IN, CCN 150162
  • Ascension St Vincent Hospital Hospital, Indianapolis, IN, CCN 150084
  • Columbus Regional Hospital Hospital, Columbus, IN, CCN 150112
  • Franciscan Health Mooresville Hospital, Mooresville, IN, CCN 150057
  • Community Hospital South, Inc. Hospital, Indianapolis, IN, CCN 150128

Merit-based Incentive Payment System (MIPS)

Final score
95.75 of 100Reported as group
Promoting interoperability
95
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion67
Laminectomy or laminotomy (partial removal of spine bones)33

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Major Hospital Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: kshah251381@direct.franciscanalliance.org
  • Direct secure messaging: kushal.shah.p1@direct.goodmancampbell.nextgenshare.com

Organizations & group practices 2

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 7

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": "1277164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650326400000",
    "number": "1285955401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13345 ILLINOIS ST",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460323318",
            "telephone_number": "317-396-1300",
            "fax_number": "317-352-3417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 E COUNTY LINE RD STE 202",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461431063",
            "telephone_number": "317-396-1300",
            "fax_number": "317-317-3418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "KUSHAL",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-22",
        "last_updated": "2022-04-19",
        "certification_date": "2022-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "IN",
            "license": "01078267A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MD LICENSE",
            "identifier": "01078267A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood, IN

Sources for this page

Verify at the official NPI Registry.