Individual provider Active NPI

Neel Bhupendra Shah, M.D.

  • Hematology & Oncology Physician
  • Dyer, IN
National Provider Identifier
1356508915
Registry record updated Mar 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
01074186A Issued in IN
Practice address
1001 Calumet Ave
Dyer, IN 46311-1596
Phone
(219) 924-8178
NPI assigned
May 21, 2008
Last updated
Mar 17, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 036116635 IL
Hematology & Oncology Physician 207RH0003X 01074186A IN Primary

Addresses

Primary practice location

1001 Calumet Ave
Dyer, IN 46311-1596

Mailing address

1860 Paysphere Cir
Chicago, IL 60674-0018
Phone (630) 364-7850

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address neel.shah@nwoncologypc.ikm.direct-ci.com Health Information Exchange (HIE)

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
I20140707001084 IN Practitioner - Hematology/Oncology 9032243464 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Wayne State University School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwest Cancer Centers PCGroup PAC ID 4587553474, 26 clinicians

Practice addresses (Care Compare)

1001 Calumet Ave
Dyer, IN 46311-1596
Phone (812) 220-4476

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01074186AINMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Catherine Hospital Inc CurrentSince May 1, 2015 Accepting new patients
St. Catherine Hospital Inc. CurrentSince May 1, 2015 Accepting new patients
Northwest Cancer Centers, PC Hematology & Oncology CurrentSince Jun 17, 2014 Accepting new patients

Locations

10191 Broadway
#200
Crown Point, IN 46307
Phone (219) 924-8178

342 E 109th Ave
Crown Point, IN 46307
Phone (219) 310-2550

1001 Calumet Ave
Dyer, IN 46311
Phone (219) 924-8178

4321 Fir St
East Chicago, IN 46312
Phone (219) 392-1700

1600 S Lake Park Ave
Ste 1101
Hobart, IN 46342
Phone (219) 947-1795

1331 State St
Ste 240
La Porte, IN 46350
Phone (219) 326-0943

1331 State St
Ste 270
La Porte, IN 46350
Phone (219) 236-0943

5510 Franklin St
Michigan City, IN 46360
Phone (219) 809-2600

10110 Donald S Powers Dr
Ste 101B
Munster, IN 46321
Phone (219) 961-8480

3800 Saint Mary Rd
Ste 302
Valparaiso, IN 46383
Phone (219) 464-1620

Interoperability endpoints

  • Direct secure messaging: neel.shah@nwoncologypc.ikm.direct-ci.com
  • Direct secure messaging: nshah177466@direct.franciscanalliance.org

Organizations & group practices 3

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 7

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": "1211328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615939200000",
    "number": "1356508915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 PAYSPHERE CIR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606740018",
            "telephone_number": "630-364-7850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 CALUMET AVE",
            "city": "DYER",
            "state": "IN",
            "postal_code": "463111596",
            "telephone_number": "219-924-8178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "NEEL",
        "middle_name": "BHUPENDRA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-21",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "IL",
            "license": "036116635",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "IN",
            "license": "01074186A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "neel.shah@nwoncologypc.ikm.direct-ci.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1001 Calumet Ave",
            "city": "Dyer",
            "state": "IN",
            "country_code": "US",
            "postal_code": "463111596",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dyer, IN

Sources for this page

Verify at the official NPI Registry.