Individual provider Active NPI

Shawn Michael Gabriel

  • Family Medicine Physician
  • Greenfield, IN
National Provider Identifier
1336725878
Registry record updated Nov 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01093872A Issued in IN
Practice address
300 E Boyd Ave Ste 100
Greenfield, IN 46140-2816
Phone
(317) 462-5252
NPI assigned
Mar 23, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2024

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 01093872A IN Primary

Addresses

Primary practice location

300 E Boyd Ave Ste 100
Greenfield, IN 46140-2816

Mailing address

300 E Boyd Ave Ste 100
Greenfield, IN 46140-2816
Phone (317) 462-5252

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
I20240813002343 IN Practitioner - Family Practice 0840692604 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Indiana University School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
American Health Network of Indiana LLCGroup PAC ID 9830093533, 204 clinicians

Practice addresses (Care Compare)

300 E Boyd Ave
Suite 100
Greenfield, IN 46140-2816
Phone (317) 462-5252

Hospital & facility affiliations

  • Suburban Home Health LLC Home health agency, Noblesville, IN, CCN 157092
  • Hancock Regional Hospital Hospital, Greenfield, IN, CCN 150037

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01093872AINMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
American Health Network of Indiana, LLC Family Medicine CurrentSince Aug 6, 2024 Accepting new patients
American Health Network of Indiana LLC CurrentSince Aug 6, 2024 Accepting new patients
Major Hospital Past Accepting new patients
American Health Network of Indiana, LLC Family Medicine Past Accepting new patients

Locations

10995 Allisonville Rd
Ste 100
Fishers, IN 46038
Phone (317) 842-7928

300 E Boyd Ave
Ste 100
Greenfield, IN 46140
Phone (317) 208-3866

7440 Woodland Dr
Indianapolis, IN 46278
Phone (317) 450-3357

Interoperability endpoints

  • Direct secure messaging: sgabriel211036@direct.optum.com

Organizations & group practices 12

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 2

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": "1616457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731024000000",
    "number": "1336725878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E BOYD AVE STE 100",
            "city": "GREENFIELD",
            "state": "IN",
            "postal_code": "461402816",
            "telephone_number": "317-462-5252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E BOYD AVE STE 100",
            "city": "GREENFIELD",
            "state": "IN",
            "postal_code": "461402816",
            "telephone_number": "317-462-5252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GABRIEL",
        "first_name": "SHAWN",
        "middle_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-23",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01093872A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenfield, IN

Sources for this page

Verify at the official NPI Registry.