Active NPI
Christian Ballast, MD
- Internal Medicine Physician
- Shelbyville, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 01038703A
- Practice address
- 2158 Intelliplex Dr
Suite 200
Shelbyville, IN 46176-8846 - Phone
- (317) 392-3651
- Fax
- (317) 398-0538
- NPI assigned
- Jun 1, 2006
- Last updated
- Nov 23, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 01038703A | IN | Primary |
| Pediatrics Physician | 208000000X | 01038703A | IN |
Addresses
Primary practice location
2158 Intelliplex Dr
Suite 200
Shelbyville, IN 46176-8846
Mailing address
1626 E State Road 44
Ste a
Shelbyville, IN 46176-4057
Phone (317) 421-2012
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100317710 | Medicaid | IN |
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
- Internal Medicine
- Education
- University of Michigan Medical School, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2451 Intelliplex Dr
Shelbyville, IN 46176-8580
Phone (317) 392-3211
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01038703A | IN | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| X-Ray Physicians of Shelbyville PC | Current | Accepting new patients | |
| Major Hospital | Current | Accepting new patients | |
| Major Hospital | Current | Accepting new patients | |
| River Crossing Emergency Physicians | Past | Accepting new patients | |
| Major Hospital | Past | Accepting new patients | |
| Midwest Medical Management, P.C. | Internal Medicine | Past | Accepting new patients |
| Major Multispecialty Associates | Internal Medicine | Past | Accepting new patients |
| Nufinity, LLC | Past | Accepting new patients | |
| Major Hospital | Past | Accepting new patients | |
| Major Medical Group LLC | Past | Accepting new patients | |
| Rush Memorial Hospital | Past | Accepting new patients | |
| Midwest Medical Management, P.C. | Past | Accepting new patients |
Locations
275 W 12th St
Peru, IN 46970
Phone (317) 472-8022
275 W 12th St
Ste 105
Peru, IN 46970
Phone (765) 472-8000
110 E 13th St
Rushville, IN 46173
Phone (765) 932-7063
1300 N Main St
Rushville, IN 46173
Phone (317) 802-3106
1640 E State Road 44
Shelbyville, IN 46176
Phone (317) 392-4300
1640 E State Road 44
Ste B
Shelbyville, IN 46176
Phone (317) 392-3779
2158 Intelliplex Dr
Ste 200
Shelbyville, IN 46176
Phone (317) 392-3651
2451 Intelliplex Dr
Shelbyville, IN 46176
Phone (317) 392-3211
2451 Intelliplex Dr
#210
Shelbyville, IN 46176
Phone (317) 421-1914
2451 Intelliplex Dr
Ste 24
Shelbyville, IN 46176
Phone (317) 398-7337
2451 Intelliplex Dr
Ste 240
Shelbyville, IN 46176
Phone (317) 398-7337
30 W Rampart St
Ste 170
Shelbyville, IN 46176
Phone (317) 382-3651
30 W Rampart St
Ste 200
Shelbyville, IN 46176
Phone (317) 398-0121
30 W Rampart St
Ste 250
Shelbyville, IN 46176
Phone (317) 398-7337
1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523
Organizations & group practices 12
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.
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
-
dba MHP Rampart Health Services
- Rural Health Clinic/Center
- Shelbyville, IN
- NPI 1689421554
-
- Diagnostic Radiology Physician
- Shelbyville, IN
- NPI 1144351347
-
- Family Medicine Physician
- Shelbyville, IN
- NPI 1609174879
-
dba MHP Behavioral Health
- Internal Medicine Physician
- Shelbyville, IN
- NPI 1437398492
-
- Emergency Medicine Physician
- Terre Haute, IN
- NPI 1417996430
Internal Medicine
-
- Emergency Medicine Physician
- Bedford, IN
- NPI 1831138734
-
- Vascular & Interventional Radiology Physician
- Lafayette, IN
- NPI 1477506319
-
- Emergency Medicine Physician
- Rushville, IN
- NPI 1215175294
-
dba RMH Healthcare Associates Rural Health Clinic
- Rural Health Clinic/Center
- Rushville, IN
- NPI 1659935781
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479859200000",
"number": "1720025174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1626 E STATE ROAD 44",
"address_2": "STE A",
"city": "SHELBYVILLE",
"state": "IN",
"postal_code": "461764057",
"telephone_number": "317-421-2012",
"fax_number": "317-398-1852"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2158 INTELLIPLEX DR",
"address_2": "SUITE 200",
"city": "SHELBYVILLE",
"state": "IN",
"postal_code": "461768846",
"telephone_number": "317-392-3651",
"fax_number": "317-398-0538"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALLAST",
"first_name": "CHRISTIAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-01",
"last_updated": "2016-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IN",
"license": "01038703A",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IN",
"license": "01038703A",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100317710",
"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 Nov 23, 2016; 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.