Active NPI
Shalom Health Care Center, Inc.
- Federally Qualified Health Center (FQHC)
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- Legal business name
- SHALOM HEALTH CARE CENTER, INC.
- Practice address
- 9240 N Meridian St Ste 270
Indianapolis, IN 46260-1876 - Phone
- (317) 291-7422
- NPI assigned
- Jun 13, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael A Nino
- Title
- Cfo
- Phone
- (317) 269-7198
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | |||
| Federally Qualified Health Center (FQHC) | 261QF0400X | Primary |
Addresses
Primary practice location
9240 N Meridian St Ste 270
Indianapolis, IN 46260-1876
Mailing address
3400 Lafayette Rd Ste 200
Indianapolis, IN 46222-1147
Phone (317) 291-7422
Other names 2
- Dr. Arthur Galstian - Shalom OBGYN Practice
- Dr. Arthur Galstian- Shalom OBGYN Practice
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040621000467 | IN | Part B Supplier - Clinic/Group Practice | 3779471750 |
Receives reassigned benefits from 27 practitioners 4 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Indianapolis, IN; Speedway, IN |
| O20230829003652 | IN | Part A Provider - Federally Qualified Health Center (FQHC) | 3779471750 | Practice locations: Indianapolis, IN |
Federally qualified health center certification: CCN C51010
- Legal name
- SHALOM HEALTH CARE CENTER INC
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Aug 29, 2023
- Last certification
- Aug 29, 2023
- Ownership / control type
- For profit – corporation
- Organization structure
- Corporation
- Incorporated
- Jul 1, 2023 in IN
- Enrollment address
- 9240 N Meridian St
Ste 180
Indianapolis, IN 46260-2065
Other NPIs with the same Medicare PAC ID 2
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Federally Qualified Health Center (FQHC)
- Indianapolis, IN
- NPI 1003275512
3779471750
-
- Federally Qualified Health Center (FQHC)
- Indianapolis, IN
- NPI 1992924633
3779471750
Other NPIs on the same Medicare enrollment 4
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Federally Qualified Health Center (FQHC)
- Indianapolis, IN
- NPI 1003275512
O20040621000467
-
- Federally Qualified Health Center (FQHC)
- Indianapolis, IN
- NPI 1538167036
O20040621000467
-
- Federally Qualified Health Center (FQHC)
- Indianapolis, IN
- NPI 1982242327
O20040621000467
-
- Federally Qualified Health Center (FQHC)
- Indianapolis, IN
- NPI 1992924633
O20040621000467
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 15D0960864 | Shalom Health Care Center | Provider-performed microscopy | May 22, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Shalom Health Care Center Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Federally Qualified Health Center (FQHC)
- Indianapolis, IN
- NPI 1538167036
-
- Federally Qualified Health Center (FQHC)
- Indianapolis, IN
- NPI 1982242327
Locations
4326 Patricia St
Indianapolis, IN 46222
Phone (317) 226-4191
150 W 40th St
Rm 336
Indianapolis, IN 46208
Phone (317) 226-4243
3725 N Kiel Ave
Rm 105
Indianapolis, IN 46224
Phone (317) 226-4767
1734 Fletcher Ave
Rm 404
Indianapolis, IN 46203
Phone (317) 226-4239
321 N Linwood Ave
Indianapolis, IN 46201
Phone (317) 226-4258
5525 W 34th St
Rm 180
Indianapolis, IN 46224
2033 Sugar Grove Ave
Rm 140
Indianapolis, IN 46202
Phone (317) 226-4244
1849 N Whitcomb Ave
Indianapolis, IN 46224
Phone (317) 241-0572
Ownership & related parties
All disclosed owners & managing parties 11
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Leonardo R Ortega | Corporate Director | Jul 1, 2012 | |
| W-2 Managing Employee | Jul 12, 2012 | ||
| Douglas Frye | Corporate Director | Apr 1, 2023 | |
| Michael a Nino | Corporate Director | Feb 1, 2017 | |
| W-2 Managing Employee | Feb 1, 2017 | ||
| Freida R Thompson | Corporate Director | Mar 1, 2018 | |
| Mimi Beresky | Corporate Director | Sep 1, 2010 | |
| W-2 Managing Employee | Sep 1, 2010 | ||
| Casandra Hooks | Corporate Director | Feb 1, 2022 | |
| Richard Proctor | Corporate Director | Sep 1, 2022 | |
| Arielle Zerger | Corporate Director | Feb 1, 2021 | |
| Eugina Long | Corporate Director | Mar 1, 2017 | |
| Hans Bernabe | Corporate Director | Sep 1, 2021 | |
| Virna Diaz | Corporate Director | Nov 1, 2020 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
All facility ownership & control disclosures 5
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Shalom Health Care Center Inc | Federally qualified health center | 5% Or Greater Direct Ownership Interest | Aug 27, 2002 |
| Shalom Health Care Center Inc | Federally qualified health center | Operational/Managerial Control (100%) | Jan 1, 1990 |
| Stephen Foster Elementary School Based Clinic | Federally qualified health center | Operational/Managerial Control (100%) | Aug 7, 2012 |
| Indiana Math and Science Academy North School Based Clinic | Federally qualified health center | Operational/Managerial Control (100%) | Aug 1, 2014 |
| Indiana Math and Science Academy West | Federally qualified health center | Operational/Managerial Control (100%) | Aug 1, 2014 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Federally Qualified Health Center (FQHC)
- Indianapolis, IN
- NPI 1992924633
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
Practitioners & affiliated clinicians
Practitioners 10
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physician Assistant
- Indianapolis, IN
- NPI 1154891133
-
- Family Nurse Practitioner
- Indianapolis, IN
- NPI 1164125928
-
- Family Medicine Physician
- Indianapolis, IN
- NPI 1295960805
-
- Family Nurse Practitioner
- Indianapolis, IN
- NPI 1467822536
-
- Family Medicine Physician
- Indianapolis, IN
- NPI 1609879675
-
- Clinical Social Worker
- Mooresville, IN
- NPI 1730596438
-
- Pediatrics Physician
- Indianapolis, IN
- NPI 1497757066
-
- Family Medicine Physician
- Indianapolis, IN
- NPI 1083806608
-
- Psychiatry Physician
- Louisville, KY
- NPI 1851364780
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686614400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1785369600000",
"number": "1770267486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3400 LAFAYETTE RD STE 200",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462221147",
"telephone_number": "317-291-7422"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9240 N MERIDIAN ST STE 270",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462601876",
"telephone_number": "317-291-7422"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHALOM HEALTH CARE CENTER, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2023-06-13",
"last_updated": "2026-07-30",
"certification_date": "2026-07-30",
"status": "A",
"authorized_official_last_name": "NINO",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "317-269-7198"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QF0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Dr. Arthur Galstian - Shalom OBGYN Practice",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "Dr. Arthur Galstian- Shalom OBGYN Practice",
"code": "5",
"type": "Other Name"
}
]
}
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 Jul 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- 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.