Individual provider Active NPI

Anjali P Shah, O.D.

  • Optometrist
  • Fishers, IN
National Provider Identifier
1497769780
Registry record updated Mar 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18003482A Issued in IN
Practice address
9760 Lantern Rd
Fishers, IN 46037-9612
Phone
(317) 577-9200
Fax
(317) 570-4434
NPI assigned
Jul 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046.009844 IL
Optometrist 152W00000X 18003482A IN Primary

Addresses

Primary practice location

9760 Lantern Rd
Fishers, IN 46037-9612

Mailing address

9760 Lantern Rd
Fishers, IN 46037-9612
Phone (317) 577-9200

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071004000225 IN Practitioner - Optometry 8123021599 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046.009844ILMDOptometrist
18003482AINMDOptometrist

Organizations & group practices 1

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.

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Visionquest Eyecare PC 8 clinicians

Practice addresses (Care Compare)

13840 E 96TH St
McCordsville, IN 46055-9394
Phone (317) 720-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

NPI Registry JSON

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

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395705600000",
    "number": "1497769780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9760 LANTERN RD",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460379612",
            "telephone_number": "317-577-9200",
            "fax_number": "317-570-4434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9760 LANTERN RD",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460379612",
            "telephone_number": "317-577-9200",
            "fax_number": "317-570-4434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "ANJALI",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-29",
        "last_updated": "2014-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046.009844",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003482A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fishers, IN

Sources for this page

Verify at the official NPI Registry.