Active NPI
Kajel Shah, D.M.D
- Periodontics
- Indianapolis, IN
National Provider Identifier
1346508785
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 12014148A
- Practice address
- 6443 W 10TH St Ste 204
Indianapolis, IN 46214-6502 - Phone
- (317) 247-9512
- NPI assigned
- Apr 23, 2012
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 12014148A | IN | Primary |
Addresses
Primary practice location
6443 W 10TH St Ste 204
Indianapolis, IN 46214-6502
Mailing address
1283 Goldfinch Dr
Carmel, IN 46032-1189
Phone (727) 686-5501
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150820012585 | CA | Order and Referring Only - Dentist | 5799090668 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12014148A | IN | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783987200000",
"number": "1346508785",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1283 GOLDFINCH DR",
"city": "CARMEL",
"state": "IN",
"postal_code": "460321189",
"telephone_number": "727-686-5501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6443 W 10TH ST STE 204",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462146502",
"telephone_number": "317-247-9512"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAH",
"first_name": "KAJEL",
"name_prefix": "Dr.",
"credential": "D.M.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-23",
"last_updated": "2026-07-14",
"certification_date": "2026-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "IN",
"license": "12014148A",
"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 Jul 14, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.