Active NPI
Sudha S Shankar, M.D.
- Endocrinology, Diabetes & Metabolism Physician
- Indianapolis, IN
National Provider Identifier
1457316218
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- 01048109
- Practice address
- 975 W Walnut St
Ib 424
Indianapolis, IN 46202-5181 - Phone
- (317) 274-3960
- NPI assigned
- Apr 17, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 01048109 | IN | Primary |
Addresses
Primary practice location
975 W Walnut St
Ib 424
Indianapolis, IN 46202-5181
Mailing address
550 N Meridian St
Ste 114
Indianapolis, IN 46204-1207
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200422840 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01048109 | IN | MD | Endocrinology, Diabetes & Metabolism Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1457316218",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 N MERIDIAN ST",
"address_2": "STE 114",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462041207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "975 W WALNUT ST",
"address_2": "IB 424",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462025181",
"telephone_number": "317-274-3960"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHANKAR",
"first_name": "SUDHA",
"middle_name": "S",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "IN",
"license": "01048109",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200422840",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.