Active NPI
Corey Tom, DO
- Family Medicine Physician
- Shelbyville, IN
National Provider Identifier
1629772181
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 02008585A
- Practice address
- 2451 Intelliplex Dr
Ste 260
Shelbyville, IN 46176-8580 - Phone
- (317) 398-0121
- Fax
- (317) 398-0538
- NPI assigned
- Mar 29, 2023
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 02008585A | IN | Primary |
Addresses
Primary practice location
2451 Intelliplex Dr
Ste 260
Shelbyville, IN 46176-8580
Mailing address
30 W Rampart St Ste 200
Shelbyville, IN 46176-5526
Phone (317) 421-2012
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02008585A | Other | IN | LICENSE |
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: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Marian University College of Osteopathic Medicine, 2023
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
30 W Rampart St
Suite 200
Shelbyville, IN 46176-8846
973 N Ritter Ave
Indianapolis, IN 46219-4431
Hospital & facility affiliations
- Franciscan Health Indianapolis
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02008585A | IN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Major Hospital | Past | Accepting new patients |
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.
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Carmel, IN
- NPI 1376214981
-
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1386749893
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1680048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785801600000",
"number": "1629772181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 W RAMPART ST STE 200",
"city": "SHELBYVILLE",
"state": "IN",
"postal_code": "461765526",
"telephone_number": "317-421-2012",
"fax_number": "317-398-1851"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2451 INTELLIPLEX DR",
"address_2": "STE 260",
"city": "SHELBYVILLE",
"state": "IN",
"postal_code": "461768580",
"telephone_number": "317-398-0121",
"fax_number": "317-398-0538"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOM",
"first_name": "COREY",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-03-29",
"last_updated": "2026-08-04",
"certification_date": "2026-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "02008585A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "02008585A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Shelbyville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.