Active NPI
Motaz M Shaher, MD
- Cardiovascular Disease Physician
- Lafayette, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 01070641A
- Practice address
- 5165 McCarty LN
Lafayette, IN 47905-8764 - Phone
- (765) 448-8000
- Fax
- (765) 838-4333
- NPI assigned
- Jul 28, 2005
- Last updated
- Oct 4, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 01070641A | IN | |
| Cardiovascular Disease Physician | 207RC0000X | 0101276464 | VA | |
| Cardiovascular Disease Physician | 207RC0000X | 01070641A | IN | Primary |
Addresses
Primary practice location
5165 McCarty LN
Lafayette, IN 47905-8764
Mailing address
250 N Shadeland Ave
Indianapolis, IN 46219-4959
Other practice location 1
7916 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 432-2297
Other practice location 2
600 Gresham Dr
Norfolk, VA 23507-1904
Phone (757) 388-8870
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200478170 | Medicaid | IN |
Other names 1
- Motaz M. Alshaher
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | motaz.shaher@lutheranhealthnetwork.cernerdirect.com | ||
| Direct Messaging Address | mshaher@direct.iuhealth.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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cameron Memorial Community Hospital Inc
Practice addresses (Care Compare)
1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone (888) 484-3258
306 E Maumee St
Suite 104
Angola, IN 46703-2035
Phone (260) 667-5790
5165 McCarty LN
Lafayette, IN 47905-8764
Phone (765) 448-8000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01070641A | IN | MD | Internal Medicine Physician |
| 0101276464 | VA | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arnett Clinic, LLC | Internal Medicine | Current | Accepting new patients |
| Lutheran Medical Group LLC | Internal Medicine | Current | Accepting new patients |
| Iu Health Medical Group, LLC | Current | Accepting new patients | |
| Cameron Memorial Community Hospital, Inc. | Current | Accepting new patients | |
| Arnett Clinic, LLC | Current | Accepting new patients | |
| Lutheran Medical Group LLC | Current | Accepting new patients | |
| Cameron Memorial Community Hospital, Inc | Current | Accepting new patients | |
| Arnett Clinic, LLC | Current | Accepting new patients | |
| University Medical Services Foundation Inc | Past | Accepting new patients |
Locations
8016 Reliable Pkwy
Chicago, IL 60686
306 E Maumee St
Angola, IN 46703
Phone (260) 667-5335
306 E Maumee St
Ste 104
Angola, IN 46703
Phone (260) 675-7885
416 E Maumee St
Angola, IN 46703
Phone (260) 665-2141
955 High St
Ste 3
Decatur, IN 46733
Phone (219) 724-2125
2516 E DuPont Rd
Fort Wayne, IN 46825
Phone (260) 434-6076
6920 Pointe Inverness Way
Ste 200
Fort Wayne, IN 46804
Phone (260) 479-3514
7910 W Jefferson Blvd
Ste 120
Fort Wayne, IN 46804
Phone (260) 435-7612
7916 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 432-2298
7950 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 434-7088
1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754
250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174
2600 Greenbush St
Lafayette, IN 47904
5165 McCarty Ln
Lafayette, IN 47905
Phone (800) 899-8448
5165 McCarty Ln
Rm 28A
Lafayette, IN 47905
1205 Provident Dr
#A
Warsaw, IN 46580
Phone (574) 269-8383
Interoperability endpoints
- malshaher6770@direct.parkviewexchange.com
- mshaher@direct.iuhealth.org
Organizations & group practices 9
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.
-
- Internal Medicine Physician
- Lafayette, IN
- NPI 1164490843
-
- General Practice Physician
- Indianapolis, IN
- NPI 1326893777
-
dba Cameron Anesthesiology
- Family Medicine Physician
- Angola, IN
- NPI 1770521478
-
- Critical Access Hospital
- Angola, IN
- NPI 1386683316
-
- Cardiovascular Disease Physician
- Fort Wayne, IN
- NPI 1164662805
Internal Medicine
-
- Durable Medical Equipment & Medical Supplies
- Lafayette, IN
- NPI 1699839563
-
- Clinical Medical Laboratory
- Lafayette, IN
- NPI 1881655090
-
- Durable Medical Equipment & Medical Supplies
- Fort Wayne, IN
- NPI 1710275664
-
dba Aim Clinic
- Health Service Clinic/Center
- Louisville, KY
- NPI 1861621740
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Angola, IN
- NPI 1386683316
-
dba IU Health Arnett Hospital
- General Acute Care Hospital
- Lafayette, IN
- NPI 1326296211
-
- Critical Access Hospital
- Monticello, IN
- NPI 1710983945
-
dba Parkview Regional Medical Center
- General Acute Care Hospital
- Fort Wayne, IN
- NPI 1366407603
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664841600000",
"number": "1427058825",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 N SHADELAND AVE",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462194959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5165 MCCARTY LN",
"city": "LAFAYETTE",
"state": "IN",
"postal_code": "479058764",
"telephone_number": "765-448-8000",
"fax_number": "765-838-4333"
}
],
"practiceLocations": [
{
"address_1": "7916 W Jefferson Blvd",
"address_purpose": "LOCATION",
"city": "Fort Wayne",
"state": "IN",
"postal_code": "46804",
"country_code": "US",
"telephone_number": "260-432-2297",
"fax_number": "260-434-6433",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "600 Gresham Dr",
"address_purpose": "LOCATION",
"city": "Norfolk",
"state": "VA",
"postal_code": "235071904",
"country_code": "US",
"telephone_number": "757-388-8870",
"fax_number": "757-388-8871",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHAHER",
"first_name": "MOTAZ",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-28",
"last_updated": "2022-10-04",
"certification_date": "2022-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IN",
"license": "01070641A",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "VA",
"license": "0101276464",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "IN",
"license": "01070641A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200478170",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "motaz.shaher@lutheranhealthnetwork.cernerdirect.com",
"affiliation": "N",
"endpointDescription": "AMR direct address",
"address_1": "7916 W Jefferson Blvd",
"city": "Fort Wayne",
"state": "IN",
"country_code": "US",
"postal_code": "46804",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mshaher@direct.iuhealth.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "5165 McCarty Ln",
"city": "Lafayette",
"state": "IN",
"country_code": "US",
"postal_code": "479058764",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "MOTAZ",
"last_name": "ALSHAHER",
"middle_name": "M.",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Lafayette, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2022; 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.