Shivaji R Gunale, M.D.

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

01026038A Issued in IN

Practice address

7229 Clearvista Dr
Indianapolis, IN 46256-1698

Phone

(317) 621-4300

Fax

(317) 621-4301

NPI assigned

Feb 3, 2006

Last updated

Jul 3, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: sgunale29894@ecommunitydirect.com

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.

• Oncology & Hematology Associates, LLC

  dba Central Indiana Cancer Centers

  • Specialist
  • Indianapolis, IN
  • NPI 1063485639
  NPD (past)
• Quality Oncology Care, P.C.

  • Hematology & Oncology Physician
  • Indianapolis, IN
  • NPI 1326010885
  NPD (past)

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

{
    "created_epoch": "1138924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215043200000",
    "number": "1598737512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 W 19TH ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462021310",
            "telephone_number": "317-924-4022",
            "fax_number": "317-924-4233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7229 CLEARVISTA DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462561698",
            "telephone_number": "317-621-4300",
            "fax_number": "317-621-4301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUNALE",
        "first_name": "SHIVAJI",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-03",
        "last_updated": "2008-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "IN",
            "license": "01026038A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PIN",
            "identifier": "4004226",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PIN (CHOP)",
            "identifier": "000000489292",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100323770",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PIN",
            "identifier": "2107420",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PIN (QOC)",
            "identifier": "000000527371",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PIN (ICCC)",
            "identifier": "000000247011",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carolyn Jean Gum, M.S.,P.T.
• Gwyn Gumalo
• Jerelyn J. Gumerson, NP
• Chloe Gumm
• Brittany Nicole Gummere, MSW
• Julie Gunckle, FNP
• David Gunderman, PHD
• Luke Daniel Gunderman, DO
• Richard Brian Gunderman, M.D.
• Chase Thomas Gundersen, DMD

• Hematology & Oncology Physician in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Hematology & Oncology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.