Active NPI
Oluwaseun Shalom Nganga
- Psychiatry Physician
- Indianapolis, IN
National Provider Identifier
1346089729
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 71014576A
- Practice address
- 3850 Shore Dr Ste 315
Indianapolis, IN 46254-4693 - Phone
- (317) 429-0061
- NPI assigned
- May 23, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 71014576A | IN | Primary |
Addresses
Primary practice location
3850 Shore Dr Ste 315
Indianapolis, IN 46254-4693
Mailing address
3850 Shore Dr Ste 315
Indianapolis, IN 46254-4693
Phone (317) 429-0061
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
705 N Meridian St
Greentown, IN 46936-1246
Phone (859) 255-0075
Hospital & facility affiliations
- Norton Scott Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71014576A | IN | MD | Psychiatry Physician |
Organizations & group practices 1
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 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Scottsburg, IN
- NPI 1013251594
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1716422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716422400000",
"number": "1346089729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3850 SHORE DR STE 315",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462544693",
"telephone_number": "317-429-0061"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3850 SHORE DR STE 315",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462544693",
"telephone_number": "317-429-0061"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGANGA",
"first_name": "OLUWASEUN",
"middle_name": "SHALOM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-05-23",
"last_updated": "2024-05-23",
"certification_date": "2024-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "IN",
"license": "71014576A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2024; 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.