NPIMap

Individual provider Active NPI

Hojjat Shamloo, MD

  • Internal Medicine Physician
  • Bedford, IN
National Provider Identifier
1578557245
Registry record updated Dec 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
01056208A Issued in IN
Practice address
2900 W 16TH Street
Bedford, IN 47421
Phone
(812) 278-8800
Fax
(812) 275-1359
NPI assigned
Sep 8, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 01056208A IN Primary

Addresses

Primary practice location

2900 W 16TH Street
Bedford, IN 47421

Mailing address

2900 W 16TH Street
Bedford, IN 47421

Other identifiers 1

IdentifierTypeStateIssuer
200382960MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address HSHAMLOO@direct.iuhealth.org

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
I20101004000322 IN Practitioner - Internal Medicine 0244258853 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Iu Health Medical Group LLCGroup PAC ID 9638617913, 4,382 clinicians

Practice addresses (Care Compare)

1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone (888) 484-3258

8695 W Jack Carnes Way
Indiana University So in Phy Inc
French Lick, IN 47432-1302
Phone (888) 484-3258

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01056208AINMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Iu Health Medical Group, LLC CurrentSince Jan 1, 2026 Accepting new patients
Indiana University Health Paoli Inc CurrentSince Sep 10, 2020 Accepting new patients
Indiana University Health Paoli Inc CurrentSince Sep 10, 2020 Accepting new patients
Major Hospital Past Accepting new patients
Bloomington Endoscopy Center, LLC PastSince Oct 1, 2016 Accepting new patients

Locations

7992 Solution Ctr
Chicago, IL 60677

2900 16th St
Bedford, IN 47421
Phone (812) 275-1200

727 W 2nd St
Bloomington, IN 47403
Phone (812) 353-3450

1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754

1200 W White River Blvd
Muncie, IN 47303
Phone (765) 254-4009

642 W Hospital Rd
Paoli, IN 47454
Phone (812) 723-2811

560 W Longest St
Paoli, IN 47454
Phone (812) 723-7437

Interoperability endpoints

  • Direct secure messaging: hshamloo@direct.iuhealth.org
  • Direct secure messaging: hshamloo@yourcarecommunity.org

Organizations & group practices 6

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 7

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": "1126137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608508800000",
    "number": "1578557245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 W 16TH STREET",
            "city": "BEDFORD",
            "state": "IN",
            "postal_code": "47421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 W 16TH STREET",
            "city": "BEDFORD",
            "state": "IN",
            "postal_code": "47421",
            "telephone_number": "812-278-8800",
            "fax_number": "812-275-1359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAMLOO",
        "first_name": "HOJJAT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-08",
        "last_updated": "2020-12-21",
        "certification_date": "2020-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01056208A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200382960",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "HSHAMLOO@direct.iuhealth.org",
            "affiliation": "N",
            "address_1": "2900 W 16TH STREET",
            "city": "BEDFORD",
            "state": "IN",
            "country_code": "US",
            "postal_code": "47421",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bedford, IN

Sources for this page

Verify at the official NPI Registry.