Huda M Elshershari, M.D.

Primary specialty

Pediatric Cardiology PhysicianTaxonomy code 2080P0202X

License

01076358A Issued in IN

Practice address

4133 Gateway Blvd
Ste 220
Newburgh, IN 47630-7953

Phone

(812) 858-3131

Fax

(812) 858-3140

NPI assigned

Aug 28, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL, IN2 enrollments

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 2

Specialty

Pediatric MedicineAlso: Cardiovascular Disease (Cardiology)

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Deaconess Clinic IncGroup PAC ID 3375610116, 411 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Deaconess Clinic Inc.

  • Internal Medicine Physician
  • Evansville, IN
  • NPI 1619123585
  Medicare reassignment Care Compare group NPD
• Deaconess Illinois Specialty Clinic, Inc.

  • Surgery Physician
  • Marion, IL
  • NPI 1972210235
  Medicare reassignment
• Wabash General Hospital District

  • Critical Access Hospital
  • Mount Carmel, IL
  • NPI 1194728808
  Medicare reassignment
• Deaconess Clinic Inc

  • Pediatrics Physician
  • Washington, IN
  • NPI 1356132310
  NPD
• Deaconess Clinic, Inc

  • Pediatrics Physician
  • Newburgh, IN
  • NPI 1376799213

  Pediatric Cardiology

  NPD
• Deaconess Illinois Specialty Clinic, Inc.

  • Hospitalist Physician
  • Anna, IL
  • NPI 1225858251
  NPD
• Deaconess Illinois Specialty Clinic, Inc.

  • Hospitalist Physician
  • Red Bud, IL
  • NPI 1780369132
  NPD
• Wabash General Hospital District

  • Ambulance
  • Mount Carmel, IL
  • NPI 1194814178
  NPD
• Wabash General Hospital District

  • Federally Qualified Health Center (FQHC)
  • Mount Carmel, IL
  • NPI 1922645910
  NPD
• Childrens Physician Group PC

  • Neurology Physician
  • Milwaukee, WI
  • NPI 1700992450

  Pediatric Cardiology

  NPD (past)
• Deaconess Illinois Clinic, Inc

  • Family Medicine Physician
  • Mount Vernon, IL
  • NPI 1245956523
  NPD (past)
• The Medical College of Wisconsin, Inc.

  • Internal Medicine Physician
  • Milwaukee, WI
  • NPI 1699720086
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1188259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456099200000",
    "number": "1366636979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3407",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477333407",
            "telephone_number": "812-858-3131",
            "fax_number": "812-858-3140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4133 GATEWAY BLVD",
            "address_2": "STE 220",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476307953",
            "telephone_number": "812-858-3131",
            "fax_number": "812-858-3140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELSHERSHARI",
        "first_name": "HUDA",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-28",
        "last_updated": "2016-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "IN",
            "license": "01076358A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036117249",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bryant K Elkins, MPT
• Kathy Ann Ellerbusch-Thompson
• Ashley S Elliott, MS, LMHCA
• Haley Marie Ellis, BS
• Laura Elpers
• Danielle Nicole Elsner, FNP-C
• Embrace Psychotherapy LLC
• Embrace Psychotherapy LLC
• Emerald Behavioral Health Group LLC
• Daniel J Emerson, M.D.

• Pediatric Cardiology Physician in Newburgh, IN
• Providers in Newburgh, IN by specialty
• Pediatric Cardiology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2016; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.