Individual provider Active NPI

Shilpa D Gaitonde, MD

  • Rheumatology Physician
  • Evansville, IN
National Provider Identifier
1346443892
Registry record updated Jun 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
01065296A Issued in IN
Practice address
3801 Bellemeade Ave Ste 300
Evansville, IN 47714
Phone
(812) 485-1400
NPI assigned
Jun 11, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 01065296A IN
Rheumatology Physician 207RR0500X 01065296A IN Primary

Addresses

Primary practice location

3801 Bellemeade Ave Ste 300
Evansville, IN 47714

Mailing address

3801 Bellemeade Ave Ste 300
Evansville, IN 47714-0113

Other practice location 1

901 Saint Marys Dr Ste 200
Evansville, IN 47714-0509
Phone (812) 485-6030

Other practice location 2

901 Saint Marys Dr
Ste 200
Evansville, IN 47714-0520
Phone (812) 485-6030

Other identifiers 4

IdentifierTypeStateIssuer
200906520MedicaidIN
7100051400MedicaidKY
200829650NOtherINMEDICAID GROUP
000000576714OtherANTHEM

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address shilpa.gaitonde.1@7598.direct.athenahealth.com St Mary's Medical Group, LLC

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
I20080814000330 IN Practitioner - RheumatologyPractitioner - Internal Medicine 8729153416 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
RheumatologyAlso: Internal Medicine
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Marys Medical Group LLCGroup PAC ID 1153493341, 230 clinicians

Practice addresses (Care Compare)

801 Saint Marys Dr
505E
Evansville, IN 47714-0528
Phone (812) 491-3236

901 Saint Marys Dr
Suite 400
Evansville, IN 47714-0520
Phone (812) 485-6030

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01065296AINMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Physicians Network LLC Internal Medicine Current Accepting new patients
St Mary'S Medical Group, LLC Internal Medicine CurrentSince Feb 25, 2014 Accepting new patients
St Mary'S Medical Group, LLC CurrentSince Feb 25, 2014 Accepting new patients
St Mary'S Medical Group, Inc Past Accepting new patients
St. Mary'S Health, Inc Internal Medicine Past Accepting new patients

Locations

901 Saint Marys Dr
Ste 200
Evansville, IN 47714
Phone (812) 485-6030

801 Saint Marys Dr
Ste 505E
Evansville, IN 47714
Phone (812) 491-3236

3801 Bellemeade Ave
Ste 300
Evansville, IN 47714
Phone (812) 471-0944

7839 S Professional Dr
Fort Branch, IN 47648
Phone (812) 753-5903

250 W 96th St
#520
Indianapolis, IN 46260
Phone (317) 583-3331

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/7598/brand/1/csg/1/fhir/r4

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 6

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": "1181520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655856000000",
    "number": "1346443892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 BELLEMEADE AVE STE 300",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477140113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 BELLEMEADE AVE STE 300",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "47714",
            "telephone_number": "812-485-1400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "901 Saint Marys Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Evansville",
            "state": "IN",
            "postal_code": "477140509",
            "country_code": "US",
            "telephone_number": "812-485-6030",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "901 Saint Marys Dr",
            "address_2": "Ste 200",
            "address_purpose": "LOCATION",
            "city": "Evansville",
            "state": "IN",
            "postal_code": "477140520",
            "country_code": "US",
            "telephone_number": "812-485-6030",
            "fax_number": "812-485-6032",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAITONDE",
        "first_name": "SHILPA",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-11",
        "last_updated": "2022-06-22",
        "certification_date": "2022-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01065296A",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "IN",
            "license": "01065296A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200906520",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100051400",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID GROUP",
            "identifier": "200829650N",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000576714",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shilpa.gaitonde.1@7598.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "St Mary's Medical Group, LLC",
            "address_1": "3801 Bellemeade Ave Ste 300",
            "city": "Evansville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "47714",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

Verify at the official NPI Registry.