Individual provider Active NPI

Shekar M Pushpala, M.D.

  • Family Medicine Physician
  • Carmel, IN
National Provider Identifier
1295872257
Registry record updated Aug 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01063905A Issued in IN
Practice address
13250 Hazel Dell Pkwy Ste 104
Carmel, IN 46033-8527
Phone
(317) 415-6900
NPI assigned
Jan 31, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 01063905A IN Primary

Addresses

Primary practice location

13250 Hazel Dell Pkwy Ste 104
Carmel, IN 46033-8527

Mailing address

13250 Hazel Dell Pkwy Ste 104
Carmel, IN 46033-8527

Other practice location 1

1700 E 38th St
Marion, IN 46953-4568
Phone (765) 674-3321

Other identifiers 1

IdentifierTypeStateIssuer
P01512445OtherINRR MEDICARE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address shekar.pushpala.2@7598.direct.athenahealth.com St. Vincent Medical Group, Inc.

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
I20071102000100 IN Practitioner - Family PracticePractitioner - Emergency Medicine 6305933649 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Vincent Medical Group IncGroup PAC ID 7012047640, 728 clinicians

Practice addresses (Care Compare)

1684 Bush LN
Crawfordsville, IN 47933-3364
Phone (765) 365-9500

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Indiana University Health Urgent Care Centers, LLC CurrentSince Mar 3, 2020 Accepting new patients
Hamilton Medical Consultants LLC CurrentSince Oct 21, 2019 Accepting new patients
Indiana University Health Urgent Care Centers, LLC. CurrentSince Mar 3, 2020 Accepting new patients
Indiana Urgent Care Centers, LLC Past Accepting new patients

Locations

90 E Garner Rd
Brownsburg, IN 46112
Phone (225) 214-1031

484 E Carmel Dr
Carmel, IN 46032

996 S State Road 135
Ste P
Greenwood, IN 46143
Phone (317) 893-3888

5602 Caito Dr
Indianapolis, IN 46226
Phone (314) 324-8802

Interoperability endpoints

  • Direct secure messaging: shekar.pushpala.1@7598.direct.athenahealth.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.

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660003200000",
    "number": "1295872257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13250 HAZEL DELL PKWY STE 104",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460338527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13250 HAZEL DELL PKWY STE 104",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460338527",
            "telephone_number": "317-415-6900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1700 E 38th St",
            "address_purpose": "LOCATION",
            "city": "Marion",
            "state": "IN",
            "postal_code": "469534568",
            "country_code": "US",
            "telephone_number": "765-674-3321",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PUSHPALA",
        "first_name": "SHEKAR",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-31",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01063905A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01512445",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shekar.pushpala.2@7598.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "St. Vincent Medical Group, Inc.",
            "address_1": "13250 Hazel Dell Pkwy Ste 104",
            "city": "Carmel",
            "state": "IN",
            "country_code": "US",
            "postal_code": "460338527",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Carmel, IN

Sources for this page

Verify at the official NPI Registry.