Individual provider Active NPI

Shawn M Fausset

  • Anesthesiology Physician
  • Lafayette, IN
National Provider Identifier
1346668373
Registry record updated Oct 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
02005037A Issued in IN
Practice address
1701 S Creasy LN
Lafayette, IN 47905-4972
Phone
(765) 502-4000
Fax
(765) 502-4023
NPI assigned
Apr 7, 2014
Last updated
Oct 20, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 02005037A IN Primary

Addresses

Primary practice location

1701 S Creasy LN
Lafayette, IN 47905-4972

Mailing address

PO Box 78838
Detroit, MI 48278-0838
Phone (317) 528-4800

Other practice location 1

49 Jesse Hill Jr Dr SE
Suite 470A
Atlanta, GA 30303
Phone (404) 778-0263

Other practice location 2

49 Jesse Hill Jr Dr SE
Suite 470A
Atlanta, GA 30303
Phone (404) 778-0263

Other practice location 3

1120 South Dr Ste 204
Indianapolis, IN 46202-5135
Phone (404) 778-0263

Other identifiers 1

IdentifierTypeStateIssuer
300018947MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sfausset394844@Direct.FranciscanAlliance.org Direct

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
I20180720000260 IN Practitioner - Anesthesiology 3779896808 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Philadelphia College of Osteopathic Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
GLHS Anesthesia GroupGroup PAC ID 7719920941, 23 clinicians
Anesthesiology of Indianapolis, PCGroup PAC ID 5092768556, 9 clinicians

Practice addresses (Care Compare)

1701 S Creasy LN
Lafayette, IN 47905-4972
Phone (765) 502-4917

2605 N Lebanon St
Lebanon, IN 46052-1476
Phone (765) 485-8000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesiology of Indianapolis, PC Anesthesiology CurrentSince Dec 15, 2022 Accepting new patients
GLHS Anesthesia Group Anesthesiology CurrentSince Jul 16, 2018 Accepting new patients

Locations

1710 Lafayette Rd
Crawfordsvlle, IN 47933
Phone (765) 362-2800

1040 Sierra Dr
Ste 400
Greenwood, IN 46143
Phone (317) 528-4886

1701 S Creasy Ln
Lafayette, IN 47905
Phone (765) 502-4400

2605 N Lebanon St
Lebanon, IN 46052
Phone (765) 485-8000

1104 E Grace St
Rensselaer, IN 47978
Phone (219) 866-2026

Interoperability endpoints

  • Direct secure messaging: sfausset394844@direct.franciscanalliance.org

Organizations & group practices 2

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 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": "1396828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697760000000",
    "number": "1346668373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 78838",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482780838",
            "telephone_number": "317-528-4800",
            "fax_number": "317-865-1479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 S CREASY LN",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479054972",
            "telephone_number": "765-502-4000",
            "fax_number": "765-502-4023"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "49 Jesse Hill Jr Dr SE",
            "address_2": "Suite 470A",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "30303",
            "country_code": "US",
            "telephone_number": "404-778-0263",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "49 Jesse Hill Jr Dr SE",
            "address_2": "Suite 470A",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "30303",
            "country_code": "US",
            "telephone_number": "404-778-0263",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1120 South Dr Ste 204",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462025135",
            "country_code": "US",
            "telephone_number": "404-778-0263",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAUSSET",
        "first_name": "SHAWN",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-07",
        "last_updated": "2023-10-20",
        "certification_date": "2023-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IN",
            "license": "02005037A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300018947",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sfausset394844@Direct.FranciscanAlliance.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1701 S Creasy Ln",
            "city": "Lafayette",
            "state": "IN",
            "country_code": "US",
            "postal_code": "479054972",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lafayette, IN

Sources for this page

Verify at the official NPI Registry.