Individual provider Active NPI

Christina N. Shinaver, M.D.

  • Diagnostic Radiology Physician
  • Indianapolis, IN
National Provider Identifier
1750366829
Registry record updated Jan 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME154026 Issued in FL
Practice address
5901 Technology Center Drive
Indianapolis, IN 46278-6013
Phone
(317) 328-5050
Fax
(317) 715-9965
NPI assigned
Dec 13, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neuroradiology Physician 2085N0700X ME154026 FL
Diagnostic Radiology Physician 2085R0202X 01044773A IN
Diagnostic Radiology Physician 2085R0202X ME154026 FL Primary

Addresses

Primary practice location

5901 Technology Center Drive
Indianapolis, IN 46278-6013

Mailing address

8900 N Kendall Dr
Miami, FL 33176-2118
Phone (786) 596-5917

Other practice location 1

8900 N Kendall Dr
Miami, FL 33176-2118
Phone (786) 596-5917

Other identifiers 7

IdentifierTypeStateIssuer
000000368993OtherINANTHEM-351158723
000000492367OtherINANTHEM 203778927
P00251843OtherINRR MEDICARE-351158723
062496OtherINSIHO-351158723
200124720MedicaidIN
Q0429607OtherINCMOSHO351158723&352047427
108063OtherINHEALTH ALLIANCE-351158723

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, FL, CA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20040414001208 IN Practitioner - Diagnostic Radiology 5890789556 Reassigns benefits to 1 organization
I20220201000587 FL Practitioner - Diagnostic Radiology 5890789556 Reassigns benefits to 2 organizations
I20220805001313 CA Practitioner - Diagnostic Radiology 5890789556 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Outpatient Services IncGroup PAC ID 6002807385, 198 clinicians
Mori Bean and Brooks IncGroup PAC ID 8820077878, 966 clinicians

Practice addresses (Care Compare)

10 Giralda Ave
Suite 120
Coral Gables, FL 33134-5303
Phone (786) 467-5052

10125 Glades Rd
Boca Raton, FL 33498-6739
Phone (904) 399-5550

1228 S Pine Island Rd
Suite 120
Plantation, FL 33324-4580
Phone 95483714204580

13500 Sw152Nd St
Suite 120
Miami, FL 33177-1111
Phone (786) 596-4333

13695 US Hwy 1
Sebastian, FL 32958-3230
Phone (904) 399-5550

14546 Dover Dr
Carmel, IN 46033-8559
Phone (904) 399-5550

14660 SW 8TH St
Suite 120
Miami, FL 33184-3135
Phone (786) 596-4200

15885 Pines Blvd
Suite 120
Pembroke Pines, FL 33027-1220
Phone (954) 837-1350

15955 SW 96 St
Miami, FL 33196-1272

20991 Old Cutler Rd
Cutler Bay, FL 33189-2469
Phone (786) 595-1795

23601 Marin Way
Laguna Niguel, CA 92677-4673
Phone (904) 399-5550

2660 Brickell Ave
Miami, FL 33129-2800
Phone (786) 467-5320

2963 Black Goose Blvd
Fort Wayne, IN 46814-9487
Phone (904) 399-5550

452 Devonshire Dr
Brea, CA 92821-6014
Phone (904) 399-5550

4741 S University Dr
Suite 120
Davie, FL 33328-3819
Phone (954) 837-1060

6264 W Sample Rd
Coral Springs, FL 33067-3273

8725 SW 136TH St
Miami, FL 33176-5814

8840 Bird Rd
Suite 300
Miami, FL 33165-5482
Phone (786) 596-3880

8950 N Kendall Dr
Miami, FL 33176-2144
Phone (786) 596-7200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
74.32 of 100Reported as group
Quality
41.6
Promoting interoperability
95
Improvement activities
40
Cost
76.98

Merit-based Incentive Payment System (MIPS)

Final score
78.06 of 100Reported as group
Quality
72.79
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME154026FLMDNeuroradiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Outpatient Services Inc CurrentSince Dec 1, 2021 Accepting new patients
Baptist Outpatient Services Inc Diagnostic Radiology CurrentSince Dec 1, 2021 Accepting new patients
Evansville Radiology PC Diagnostic Radiology Past Accepting new patients
St Vincent Northwest Radiology LLC Diagnostic Radiology Past Accepting new patients
Rush Memorial Hospital Past Accepting new patients

Locations

6264 W Sample Rd
Ste 120
Coral Springs, FL 33067
Phone (954) 837-1020

8950 N Kendall Dr
Fl 2
Miami, FL 33176
Phone (786) 596-7200

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 5

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": "1134432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643587200000",
    "number": "1750366829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8900 N KENDALL DR",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331762118",
            "telephone_number": "786-596-5917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 TECHNOLOGY CENTER DRIVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462786013",
            "telephone_number": "317-328-5050",
            "fax_number": "317-715-9965"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8900 N Kendall Dr",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331762118",
            "country_code": "US",
            "telephone_number": "786-596-5917",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHINAVER",
        "first_name": "CHRISTINA",
        "middle_name": "N.",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-13",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "FL",
            "license": "ME154026",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IN",
            "license": "01044773A",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME154026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM-351158723",
            "identifier": "000000368993",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM 203778927",
            "identifier": "000000492367",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE-351158723",
            "identifier": "P00251843",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SIHO-351158723",
            "identifier": "062496",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200124720",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CMOSHO351158723&352047427",
            "identifier": "Q0429607",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ALLIANCE-351158723",
            "identifier": "108063",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.