NPIMap

Individual provider Active NPI

Neha Shardul Gavin, MD, MPH

  • Endocrinology, Diabetes & Metabolism Physician
  • Fishers, IN
National Provider Identifier
1528226321
Registry record updated Mar 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
01066631A Issued in IN
Practice address
13121 Olio Rd Ste 100
Fishers, IN 46037-7238
Phone
(317) 621-4044
NPI assigned
May 28, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 01066631A IN Primary

Addresses

Primary practice location

13121 Olio Rd Ste 100
Fishers, IN 46037-7238

Mailing address

2605 N Lebanon St
Lebanon, IN 46052-1476

Other practice location 1

2705 N Lebanon St Ste 265
Lebanon, IN 46052-8621
Phone (765) 485-8830

Other identifiers 1

IdentifierTypeStateIssuer
201088770MedicaidIN

Other names 1

  • Neha Shardul Vibhakar Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nsgavin@withamdirect.org Health Information Exchange (HIE) Witham Memorial Hospital

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121203000063 IN Practitioner - EndocrinologyPractitioner - Internal Medicine 0840442612 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
Wright State University Boonshoft School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Physicians of Indiana IncGroup PAC ID 1759416662, 1,569 clinicians

Practice addresses (Care Compare)

13121 Olio Rd
Suite 100
Fishers, IN 46037-7238
Phone (317) 355-2050

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Physicians of Indiana Inc Internal Medicine CurrentSince Apr 28, 2025 Accepting new patients
Community Physicians of Indiana Inc Endocrinology, Diabetes & Metabolism CurrentSince Apr 28, 2025 Accepting new patients
Witham Memorial Hospital CurrentSince Nov 1, 2012 Accepting new patients
Witham Memorial Hospital CurrentSince Nov 1, 2012 Accepting new patients
Major Hospital Past Accepting new patients

Locations

5819 Reliable Pkwy
Chicago, IL 60686

13121 Olio Rd
Ste 100
Fishers, IN 46037
Phone (317) 355-2050

7120 Clearvista Dr
Ste 4000
Indianapolis, IN 46256
Phone (317) 621-7444

2705 N Lebanon St
Ste 265
Lebanon, IN 46052
Phone (765) 485-8730

2505 N Lebanon St
Ste 220
Lebanon, IN 46052
Phone (765) 482-8649

2705 N Lebanon St
Ste 305
Lebanon, IN 46052
Phone (765) 485-8677

2605 N Lebanon St
Lebanon, IN 46052
Phone (765) 485-8000

6085 Heartland Dr
Ste 204
Zionsville, IN 46077
Phone (317) 768-2134

Interoperability endpoints

  • Direct secure messaging: nsgavin@withamdirect.org
  • Direct secure messaging: ngavin635601@ecommunitydirect.com

Organizations & group practices 5

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1211932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742342400000",
    "number": "1528226321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2605 N LEBANON ST",
            "city": "LEBANON",
            "state": "IN",
            "postal_code": "460521476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13121 OLIO RD STE 100",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460377238",
            "telephone_number": "317-621-4044"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2705 N Lebanon St Ste 265",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "IN",
            "postal_code": "460528621",
            "country_code": "US",
            "telephone_number": "765-485-8830",
            "fax_number": "765-485-8789",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAVIN",
        "first_name": "NEHA",
        "middle_name": "SHARDUL",
        "name_prefix": "Dr.",
        "credential": "MD, MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-28",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "IN",
            "license": "01066631A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201088770",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nsgavin@withamdirect.org",
            "affiliation": "Y",
            "affiliationName": "Witham Memorial Hospital",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "2705 N Lebanon St Ste 265",
            "city": "Lebanon",
            "state": "IN",
            "country_code": "US",
            "postal_code": "460528621",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "NEHA",
            "last_name": "VIBHAKAR",
            "middle_name": "SHARDUL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fishers, IN

Sources for this page

Verify at the official NPI Registry.