Individual provider Active NPI

William Robert Shultz, M.D.

  • Ophthalmology Physician
  • Indianapolis, IN
National Provider Identifier
1437357936
Registry record updated Dec 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
01071460A Issued in IN
Practice address
1901 North Meridian Street
Indianapolis, IN 46202
Phone
(317) 925-2200
Fax
(317) 405-9237
NPI assigned
Jul 5, 2007
Last updated
Dec 9, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 54563-20 WI
Ophthalmology Physician 207W00000X 01071460A IN Primary

Addresses

Primary practice location

1901 North Meridian Street
Indianapolis, IN 46202

Mailing address

1901 North Meridian Street
Indianapolis, IN 46202
Phone (317) 925-2200

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
I20130412000219 IN Practitioner - Ophthalmology 7416071352 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Loyola University of Chicago, Stritch School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Specialists of Indiana PCGroup PAC ID 5193754265, 12 clinicians

Practice addresses (Care Compare)

1901 N Meridian St
Indianapolis, IN 46202-1303
Phone (317) 925-2200

Merit-based Incentive Payment System (MIPS)

Final score
95.13 of 100Reported as group
Quality
100
Improvement activities
40
Cost
83.77

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery3295

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01071460AINMDOphthalmology Physician
54563-20WIMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Surgery Center of Eye Specialists of Indiana, PC CurrentSince Jan 1, 2022 Accepting new patients
Eye Specialists of Indiana, PC Ophthalmology CurrentSince Mar 1, 2013 Accepting new patients
Eye Specialist of Indiana, P.C. Ophthalmology CurrentSince Mar 1, 2013 Accepting new patients
Medical Eye Associates, S.C. Ophthalmology PastSince Oct 1, 1998 Accepting new patients
Parke Vision Care LLC Past Accepting new patients
Hodges Woodall Optometry, PC Past Accepting new patients
Surgery Center of Eye Specialists of Indiana, PC Past Accepting new patients
Decleene Optometry, Inc. Past Accepting new patients
Thompson Family Eyecare, Inc Past Accepting new patients
Medical Eye Associates, S.C. Past Accepting new patients

Locations

1828 N Meridian St
Ste 123
Indianapolis, IN 46202
Phone (317) 925-2200

1901 N Meridian St
Indianapolis, IN 46202
Phone (317) 925-2200

1950 W 86th St
Indianapolis, IN 46260
Phone (317) 405-9237

3530 S Keystone Ave
Indianapolis, IN 46227
Phone (317) 925-2200

1055 S Hunt St
Terre Haute, IN 47803
Phone (317) 925-2200

Interoperability endpoints

  • Direct secure messaging: wshultz@esin.intellechartdirect.net

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1183593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418083200000",
    "number": "1437357936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 NORTH MERIDIAN STREET",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "46202",
            "telephone_number": "317-925-2200",
            "fax_number": "317-921-6614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 NORTH MERIDIAN STREET",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "46202",
            "telephone_number": "317-925-2200",
            "fax_number": "317-405-9237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHULTZ",
        "first_name": "WILLIAM",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-05",
        "last_updated": "2014-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WI",
            "license": "54563-20",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IN",
            "license": "01071460A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.