NPIMap

Individual provider Active NPI

Shreelekha A Deshpande, MD

  • Internal Medicine Physician
  • Terre Haute, IN
National Provider Identifier
1740260710
Registry record updated Sep 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
01055950A Issued in IN
Practice address
4320 S 7TH St
Terre Haute, IN 47802-4301
Phone
(812) 917-0047
Fax
(812) 917-0051
NPI assigned
Jan 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 01055950A IN
Internal Medicine Physician 207R00000X 01055950A IN Primary

Addresses

Primary practice location

4320 S 7TH St
Terre Haute, IN 47802-4301

Mailing address

4320 S 7TH St
Terre Haute, IN 47802-4301
Phone (812) 917-0047

Other practice location 1

102 S Section St
Sullivan, IN 47882-1805
Phone (812) 905-0912

Other identifiers 2

IdentifierTypeStateIssuer
000000244692OtherBLUE CROSS PROVIDER #
200386870MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100603000482 IN Practitioner - Internal Medicine 5698804425 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Associates of Terre Haute, LLCGroup PAC ID 8820424294, 3 clinicians

Practice addresses (Care Compare)

4320 S 7TH St
Terre Haute, IN 47802-4301
Phone (812) 917-0047

Hospital & facility affiliations

  • Union Hospital Inc Hospital, Terre Haute, IN, CCN 150023
  • Sullivan County Community Hospital Hospital, Sullivan, IN, CCN 151327
  • Terre Haute Regional Hospital Hospital, Terre Haute, IN, CCN 150046
  • Good Samaritan Hospital Hospital, Vincennes, IN, CCN 150042
  • Union Hospital Clinton Hospital, Clinton, IN, CCN 151326

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01055950AINMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Terre Haute Pulmonary & Pediatric Clinic, LLC CurrentSince Aug 1, 2002 Accepting new patients
Medical Associates of Terre Haute, LLC Internal Medicine CurrentSince Feb 1, 2020 Accepting new patients
Union Hospital Inc. Current Accepting new patients
Terre Haute Pulmonary & Pediatric Clinic, LLC Internal Medicine CurrentSince Aug 1, 2002 Accepting new patients

Locations

557 W Broadway St
Shelburn, IN 47879
Phone (812) 232-8716

102 S Section St
Sullivan, IN 47882
Phone (812) 268-3313

4525 S Springhill Jct
Terre Haute, IN 47802
Phone 8122346053255

4320 S 7th St
Terre Haute, IN 47802
Phone (812) 299-7000

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HBHACD
  • Direct secure messaging: 017392@unionhealth.cernerdirect.com

Organizations & group practices 4

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 9

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": "1137542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601251200000",
    "number": "1740260710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4320 S 7TH ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478024301",
            "telephone_number": "812-917-0047",
            "fax_number": "812-917-0051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4320 S 7TH ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478024301",
            "telephone_number": "812-917-0047",
            "fax_number": "812-917-0051"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "102 S Section St",
            "address_purpose": "LOCATION",
            "city": "Sullivan",
            "state": "IN",
            "postal_code": "478821805",
            "country_code": "US",
            "telephone_number": "812-905-0912",
            "fax_number": "812-905-0913",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DESHPANDE",
        "first_name": "SHREELEKHA",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-18",
        "last_updated": "2020-09-28",
        "certification_date": "2020-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "IN",
            "license": "01055950A",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01055950A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER #",
            "identifier": "000000244692",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200386870",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Terre Haute, IN

Sources for this page

Verify at the official NPI Registry.