NPIMap

Individual provider Active NPI

Shahab Zaidi, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Tipton, IN
National Provider Identifier
1346457660
Registry record updated Jan 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
01042743A Issued in IN
Practice address
1060 S Main St
Suite #1
Tipton, IN 46072-8327
Phone
(765) 675-1410
Fax
(765) 675-8242
NPI assigned
May 17, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 01042743A IN Primary

Addresses

Primary practice location

1060 S Main St
Suite #1
Tipton, IN 46072-8327

Mailing address

1000 S Main St
Tipton, IN 46072-9753
Phone (765) 675-8500

Other identifiers 2

IdentifierTypeStateIssuer
200026120MedicaidIN
CL8428OtherINRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110120001240 IN Practitioner - Endocrinology 9335328426 Reassigns benefits to 2 organizations
Practice locations: Carmel, IN; Tipton, IN; Westfield, IN; Zionsville, IN

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Decatur County Memorial HospitalGroup PAC ID 7315837671, 128 clinicians

Practice addresses (Care Compare)

1060 S Main St
Tipton, IN 46072-8327
Phone (765) 675-1410

26 Six Pine Ranch Rd
Batesville, IN 47006-1399
Phone (812) 934-6626

6866 W Stonegate Dr
Diabetes and Endocrinology Associates
Zionsville, IN 46077-8050
Phone (317) 768-6000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Decatur County Memorial Hospital Current Accepting new patients
Indianapolis Endocrinology & Diabetology, Inc. Endocrinology, Diabetes & Metabolism Current Accepting new patients
Decatur County Memorial Hospital CurrentSince Jun 29, 2013 Accepting new patients
Decatur County Memorial Hospital CurrentSince Jun 29, 2013 Accepting new patients
Major Hospital Past Accepting new patients
Rush Memorial Hospital Past Accepting new patients
Diabetes and Endocrinology Associates LLC Endocrinology, Diabetes & Metabolism PastSince Jan 15, 2013 Accepting new patients
Decatur County Memorial Hospital Past Accepting new patients

Locations

26 Six Pine Ranch Rd
Batesville, IN 47006
Phone (812) 934-5252

10580 N Meridian St
Carmel, IN 46290
Phone (317) 338-2273

720 N Lincoln St
Greensburg, IN 47240
Phone (812) 522-2349

8330 Naab Rd
Ste 140
Indianapolis, IN 46260
Phone (317) 872-5159

Interoperability endpoints

  • Direct secure messaging: shahab.zaidi@direct.dcmh.net

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357257600000",
    "number": "1346457660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 S MAIN ST",
            "city": "TIPTON",
            "state": "IN",
            "postal_code": "460729753",
            "telephone_number": "765-675-8500",
            "fax_number": "765-675-8520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 S MAIN ST",
            "address_2": "SUITE #1",
            "city": "TIPTON",
            "state": "IN",
            "postal_code": "460728327",
            "telephone_number": "765-675-1410",
            "fax_number": "765-675-8242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAIDI",
        "first_name": "SHAHAB",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-17",
        "last_updated": "2013-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "IN",
            "license": "01042743A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200026120",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CL8428",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tipton, IN

Sources for this page

Verify at the official NPI Registry.