Individual provider Active NPI

Nikhil A Shetty, M.D.

  • Interventional Pain Medicine Physician
  • Munster, IN
National Provider Identifier
1316202138
Registry record updated Jan 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
01078881A Issued in IN
Practice address
8840 Calumet Ave Ste 103
Munster, IN 46321-2546
Phone
(219) 836-7246
Fax
(219) 836-6454
NPI assigned
Jul 9, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 4301101477 MI
Physical Medicine & Rehabilitation Physician 208100000X 52154 AZ
Physical Medicine & Rehabilitation Physician 208100000X 01078881A IN
Interventional Pain Medicine Physician 208VP0014X 01078881A IN Primary

Addresses

Primary practice location

8840 Calumet Ave Ste 103
Munster, IN 46321-2546

Mailing address

8840 Calumet Ave Ste 103
Munster, IN 46321-2546
Phone (219) 836-7246

Other practice location 1

9913 N 95th St
Scottsdale, AZ 85258-4586
Phone (480) 860-8998

Other practice location 2

1500 S Lake Park Ave
Hobart, IN 46342-6638
Phone (219) 947-6695

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
I20170728001399 IN Practitioner - Physical Medicine and RehabilitationPractitioner - Pain Management 9638396716 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Wayne State University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pain Management Specialists, LLCGroup PAC ID 9032134770, 3 clinicians
Chesterton Physical Therapy IncGroup PAC ID 3173683984, 191 clinicians
Midwest Pain Management Centers,LLCGroup PAC ID 5496654618, 9 clinicians

Practice addresses (Care Compare)

24 Joliet St
Dyer, IN 46311-1705
Phone (219) 864-2237

425 Sand Creek Dr
Chesterton, IN 46304-1589

8840 Calumet Ave
Suite 103
Munster, IN 46321-2546
Phone (219) 836-7246

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01078881AINMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pain Management Specialists LLC CurrentSince Sep 1, 2017 Accepting new patients
Serenity Surgical, LLC Current Accepting new patients
Community Care Network Inc Interventional Pain Medicine CurrentSince Sep 1, 2017 Accepting new patients
Midwest Pain Management Centers,LLC Interventional Pain Medicine CurrentSince Sep 1, 2017 Accepting new patients

Locations

28354 Network Pl
Chicago, IL 60673

1100 S Calumet Rd
Ste 1
Chesterton, IN 46304
Phone (219) 836-7246

24 Joliet St
Ste 1
Dyer, IN 46311

24 Joliet St
Dyer, IN 46311
Phone (219) 864-2237

1500 S Lake Park Ave
Hobart, IN 46342
Phone (219) 942-0551

1400 S Lake Park Ave
Ste 200202
Hobart, IN 46342
Phone (219) 947-6122

9130 Columbia Ave
Ste A
Munster, IN 46321
Phone (219) 365-1166

8840 Calumet Ave
Ste 103
Munster, IN 46321
Phone (219) 836-7246

8840 Calumet Ave
Ste 104
Munster, IN 46321
Phone (219) 513-9582

Interoperability endpoints

  • Direct secure messaging: nshetty179143@themethodisthospitals.direct-ci.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.

Hospital & facility affiliations 8

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": "1341792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736380800000",
    "number": "1316202138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8840 CALUMET AVE STE 103",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463212546",
            "telephone_number": "219-836-7246",
            "fax_number": "219-836-6454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8840 CALUMET AVE STE 103",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463212546",
            "telephone_number": "219-836-7246",
            "fax_number": "219-836-6454"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9913 N 95th St",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852584586",
            "country_code": "US",
            "telephone_number": "480-860-8998",
            "fax_number": "480-377-9245",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1500 S Lake Park Ave",
            "address_purpose": "LOCATION",
            "city": "Hobart",
            "state": "IN",
            "postal_code": "463426638",
            "country_code": "US",
            "telephone_number": "219-947-6695",
            "fax_number": "219-947-6092",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHETTY",
        "first_name": "NIKHIL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-09",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MI",
            "license": "4301101477",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "AZ",
            "license": "52154",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IN",
            "license": "01078881A",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "IN",
            "license": "01078881A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Munster, IN

Sources for this page

Verify at the official NPI Registry.