Active NPI
Cheuk Fan Shum
- Urology Physician
- Indianapolis, IN
National Provider Identifier
1730531807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 11019086A
- Practice address
- 535 Barnhill Dr
Suite 150
Indianapolis, IN 46202-5116 - Phone
- (317) 514-5681
- NPI assigned
- Jul 12, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 11019086A | IN | Primary |
Addresses
Primary practice location
535 Barnhill Dr
Suite 150
Indianapolis, IN 46202-5116
Mailing address
559 Ransom St
Indianapolis, IN 46202-2244
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11019086A | IN | MD | Urology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470009600000",
"number": "1730531807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "559 RANSOM ST",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462022244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "535 BARNHILL DR",
"address_2": "SUITE 150",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462025116",
"telephone_number": "317-514-5681"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHUM",
"first_name": "CHEUK FAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-07-12",
"last_updated": "2016-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "IN",
"license": "11019086A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.