NPIMap

Individual provider Active NPI

Shankaran Srikanth, MD

  • Internal Medicine Physician
  • Marion, IN
National Provider Identifier
1356440887
Registry record updated Oct 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
01048569 Issued in IN
Practice address
1406 W Bella Dr
Marion, IN 46953-5229
Phone
(765) 660-7720
Fax
(765) 662-4493
NPI assigned
Sep 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 01048569 IN Primary

Addresses

Primary practice location

1406 W Bella Dr
Marion, IN 46953-5229

Mailing address

330 N Wabash
Ste G20
Marion, IN 46952-2600
Phone (765) 660-7600

Other identifiers 2

IdentifierTypeStateIssuer
000000742620OtherINANTHEM
200192920BMedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address shankaran.srikanth@mgh.eclinicaldirectplus.com

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
I20050829000237 IN Practitioner - Internal MedicinePractitioner - General Practice 6002847159 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Marion General HospitalGroup PAC ID 9133023625, 115 clinicians

Practice addresses (Care Compare)

1411 W Bella Dr
Family Medicine Residency
Marion, IN 46953-5250
Phone (765) 660-7790

Hospital & facility affiliations

  • Stillwater Hospice Hospice, Fort Wayne, IN, CCN 151503
  • Marion General Hospital Hospital, Marion, IN, CCN 150011
  • Marion Aru Inpatient rehabilitation facility, Marion, IN, CCN 15T011
  • Colonial Oaks Health Care Center Nursing home, Marion, IN, CCN 155289
  • Wesleyan Health Care Center Nursing home, Marion, IN, CCN 155455
  • Rolling Meadows Health Care Center Nursing home, La Fontaine, IN, CCN 155551
  • Miller'S Merry Manor Nursing home, Marion, IN, CCN 155173

Merit-based Incentive Payment System (MIPS)

Final score
85.82 of 100Reported as group
Quality
71.45
Promoting interoperability
100
Improvement activities
40
Cost
75.59

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01048569INMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Marion General Hospital Internal Medicine CurrentSince Jan 1, 2012 Accepting new patients
Marion General Hospital CurrentSince Jan 1, 2012 Accepting new patients

Locations

4781 Kaybee Dr
Gas City, IN 46933
Phone (765) 660-7840

1389 N Baldwin Ave
Marion, IN 46952
Phone (765) 664-2671

1406 W Bella Dr
Marion, IN 46953
Phone (765) 660-7470

330 N Wabash Ave
Ste G-20
Marion, IN 46952
Phone (765) 660-7600

911 N Western Ave
Marion, IN 46952
Phone (765) 668-8744

330 N Wabash Ave
Ste 210
Marion, IN 46952
Phone (765) 651-4278

441 N Wabash Ave
Marion, IN 46952
Phone (219) 482-4577

Interoperability endpoints

  • Direct secure messaging: shankaran.srikanth@mgh.eclinicaldirectplus.com

Ownership & related parties

All facility ownership & control disclosures 6

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Marion General HospitalMarion, IN, CCN 15T011 Hospital Corporate Director Jul 1, 2009
Marion General HospitalMarion, IN, CCN 150011 Hospital Corporate Director Jul 1, 2009
Rolling Meadows Health Care CenterLa Fontaine, IN, CCN 155551 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Mar 1, 2012
Mar 1, 2012
Wesleyan Health Care CenterMarion, IN, CCN 155455 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Mar 1, 2012
Mar 1, 2012
Colonial Oaks Health Care CenterMarion, IN, CCN 155289 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Aug 1, 2012
Aug 1, 2012
Millers Merry ManorMarion, IN, CCN 155173 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jan 1, 2025
Aug 11, 2025

Owned or controlled facilities with NPI records 9

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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 and National Provider Directory roles.

Hospital & facility affiliations 10

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": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603152000000",
    "number": "1356440887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 N WABASH",
            "address_2": "STE G20",
            "city": "MARION",
            "state": "IN",
            "postal_code": "469522600",
            "telephone_number": "765-660-7600",
            "fax_number": "765-651-7313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1406 W BELLA DR",
            "city": "MARION",
            "state": "IN",
            "postal_code": "469535229",
            "telephone_number": "765-660-7720",
            "fax_number": "765-662-4493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SRIKANTH",
        "first_name": "SHANKARAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2020-10-20",
        "certification_date": "2020-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01048569",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000742620",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200192920B",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shankaran.srikanth@mgh.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "1406 W Bella Dr",
            "city": "Marion",
            "state": "IN",
            "country_code": "US",
            "postal_code": "469535229",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Marion, IN

Sources for this page

Verify at the official NPI Registry.