Individual provider Active NPI

Robert G Shellman, M.D.

  • Pulmonary Disease Physician
  • Shelbyville, IN
National Provider Identifier
1659339927
Registry record updated Aug 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
01037555 Issued in IN
Practice address
2451 Intelliplex Dr
Suite 205
Shelbyville, IN 46176-8581
Phone
(317) 421-1914
Fax
(317) 398-1853
NPI assigned
May 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 01037555 IN Primary

Addresses

Primary practice location

2451 Intelliplex Dr
Suite 205
Shelbyville, IN 46176-8581

Mailing address

2451 Intelliplex Dr
Shelbyville, IN 46176-8580
Phone (317) 421-1914

Other identifiers 4

IdentifierTypeStateIssuer
000000349809OtherINPROVIDER ANTHEM PIN
100129370AMedicaidIN
201764827OtherINPROVIDER CORP PIN
P00183317OtherINPROVIDER RAILROAD PIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address majorhospital@direct.majorhospital.org Health Information Exchange (HIE)

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041220000279 IN Practitioner - Pulmonary Disease 7911964259 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
State University of Ny Upstate Medical University, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Major Multispecialty AssociatesGroup PAC ID 6305997842, 39 clinicians

Practice addresses (Care Compare)

2451 Intelliplex Dr
Shelbyville, IN 46176-8580

2451 Intelliplex Dr
Shelbyville, IN 46176-8581

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Major Multispecialty Associates CurrentSince Apr 1, 2011 Accepting new patients
Major Multispecialty Associates Pulmonary Disease CurrentSince Apr 1, 2011 Accepting new patients
Major Hospital Past Accepting new patients
St Francis Hospital and Health Centers Past Accepting new patients
Southside Pulmonary & Sleep Consultants, LLC Pulmonary Disease PastSince Jan 1, 2005 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

2451 Intelliplex Dr
Shelbyville, IN 46176
Phone (317) 392-3211

1626 E State Road 44
Ste A
Shelbyville, IN 46176
Phone (317) 421-2012

30 W Rampart St
Ste 200
Shelbyville, IN 46176
Phone (317) 398-0121

2451 Intelliplex Dr
Ste 205
Shelbyville, IN 46176
Phone (317) 421-1914

2451 Intelliplex Dr
#210
Shelbyville, IN 46176
Phone (317) 421-1914

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 3

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": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724976000000",
    "number": "1659339927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2451 INTELLIPLEX DR",
            "city": "SHELBYVILLE",
            "state": "IN",
            "postal_code": "461768580",
            "telephone_number": "317-421-1914",
            "fax_number": "317-421-1914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2451 INTELLIPLEX DR",
            "address_2": "SUITE 205",
            "city": "SHELBYVILLE",
            "state": "IN",
            "postal_code": "461768581",
            "telephone_number": "317-421-1914",
            "fax_number": "317-398-1853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELLMAN",
        "first_name": "ROBERT",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "IN",
            "license": "01037555",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER ANTHEM PIN",
            "identifier": "000000349809",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100129370A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER CORP PIN",
            "identifier": "201764827",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER RAILROAD PIN",
            "identifier": "P00183317",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "majorhospital@direct.majorhospital.org",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "2451 Intelliplex Dr",
            "address_2": "Suite 205",
            "city": "Shelbyville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "461768581",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Shelbyville, IN

Sources for this page

Verify at the official NPI Registry.