Organization Active NPI

Shalom Health Care Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Indianapolis, IN
National Provider Identifier
1770267486
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
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

Updated by the provider on Jul 30, 2026

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)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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 Other name
  • Dr. Arthur Galstian- Shalom OBGYN Practice Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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
CorporationNon-profit
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).

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
15D0960864Shalom Health Care Center9240 N Meridian St Suite 270, Indianapolis, IN 46260Provider-performed microscopyMay 22, 2027

National Provider Directory

National Provider Directory
Tax ID family
Shalom Health Care Center Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

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.

NameRoleSinceShare
Leonardo R Ortega Individual Corporate DirectorCeo Jul 1, 2012
W-2 Managing EmployeeCeo Jul 12, 2012
Douglas Frye Individual Corporate Director Apr 1, 2023
Michael a Nino Individual Corporate DirectorAuthorized Official Feb 1, 2017
W-2 Managing EmployeeCfo Feb 1, 2017
Freida R Thompson Individual Corporate Director Mar 1, 2018
Mimi Beresky Individual Corporate DirectorCoo Sep 1, 2010
W-2 Managing EmployeeCoo Sep 1, 2010
Casandra Hooks Individual Corporate Director Feb 1, 2022
Richard Proctor Individual Corporate Director Sep 1, 2022
Arielle Zerger Individual Corporate Director Feb 1, 2021
Eugina Long Individual Corporate Director Mar 1, 2017
Hans Bernabe Individual Corporate DirectorBoard Member Sep 1, 2021
Virna Diaz Individual 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.

FacilityTypeRoleSince
Shalom Health Care Center IncIndianapolis, IN, CCN 151830 Federally qualified health center 5% Or Greater Direct Ownership Interest Aug 27, 2002
Shalom Health Care Center IncIndianapolis, IN, CCN 151831 Federally qualified health center Operational/Managerial Control (100%) Jan 1, 1990
Stephen Foster Elementary School Based ClinicIndianapolis, IN, CCN 151939 Federally qualified health center Operational/Managerial Control (100%) Aug 7, 2012
Indiana Math and Science Academy North School Based ClinicIndianapolis, IN, CCN 151942 Federally qualified health center Operational/Managerial Control (100%) Aug 1, 2014
Indiana Math and Science Academy WestIndianapolis, IN, CCN 151943 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.

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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

Verify at the official NPI Registry.