Paula Ann Gustafson, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

01044150A Issued in IN

Practice address

30 W Rampart St
Shelbyville, IN 46176-8897

Phone

(317) 398-7337

NPI assigned

Jun 30, 2006

Last updated

Jan 14, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

All facility ownership & control disclosures 6

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 6

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Major Hospital

  dba Belltower Health & Rehabilitation Center

  • Skilled Nursing Facility
  • Granger, IN
  • NPI 1164885372

  Corporate Officer

  CMS ownership
• Major Hospital

  dba Spring Mill Health Campus

  • Assisted Living Facility
  • Merrillville, IN
  • NPI 1285729673

  Corporate Director

  CMS ownership
• Major Hospital

  dba Aperion Care Tolleston Park

  • Skilled Nursing Facility
  • Gary, IN
  • NPI 1306953740

  Adp of the SNF, Corporate Officer

  CMS ownership
• Major Hospital

  dba Transcendent Healthcare of Boonville

  • Skilled Nursing Facility
  • Boonville, IN
  • NPI 1457569915

  Adp of the SNF, Corporate Officer

  CMS ownership
• Major Hospital

  dba Elevate Senior Living - Fort Wayne

  • Skilled Nursing Facility
  • Fort Wayne, IN
  • NPI 1881682672

  Managing Control - Governing Body

  CMS ownership
• Pulaski Memorial Hospital

  dba Majestic Care of Deming Park

  • Skilled Nursing Facility
  • Terre Haute, IN
  • NPI 1558367052

  Managing Control - Governing Body

  CMS ownership

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Major Hospital

  • General Acute Care Hospital
  • Shelbyville, IN
  • NPI 1174555692
  Medicare reassignment NPD
• Major Hospital

  dba MHP Rampart Health Services

  • Rural Health Clinic/Center
  • Shelbyville, IN
  • NPI 1689421554
  NPD
• X-Ray Physicians of Shelbyville PC

  • Diagnostic Radiology Physician
  • Shelbyville, IN
  • NPI 1144351347
  NPD
• Major Hospital

  dba Aperion Care Tolleston Park

  • Skilled Nursing Facility
  • Gary, IN
  • NPI 1306953740
  NPD (past)
• Major Hospital

  dba MHP Pediatrics

  • Rural Health Clinic/Center
  • Shelbyville, IN
  • NPI 1558870279
  NPD (past)
• Major Medical Group LLC

  • Family Medicine Physician
  • Shelbyville, IN
  • NPI 1609174879
  NPD (past)
• Major Medical Group LLC

  • Family Medicine Physician
  • Shelbyville, IN
  • NPI 1629314653
  NPD (past)
• Major Multispecialty Associates

  dba MHP Behavioral Health

  • Internal Medicine Physician
  • Shelbyville, IN
  • NPI 1437398492

  Pediatrics

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389657600000",
    "number": "1770511305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3625 WOODFIELD PL",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472031230",
            "telephone_number": "812-379-4382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 W RAMPART ST",
            "city": "SHELBYVILLE",
            "state": "IN",
            "postal_code": "461768897",
            "telephone_number": "317-398-7337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUSTAFSON",
        "first_name": "PAULA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-30",
        "last_updated": "2014-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IN",
            "license": "01044150A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200141250A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angelina Alana Gregory
• Jacey Marie Grieselding, PA-C
• Deborah Lee Griffey, MSW, LCSW
• Alicia R Grove, OD
• Stacey Groves, LMFT
• Jessica Gutierrez
• Habermehl Medical Transport
• William Haehl, MD
• Hancock Regional Hospital (Ashford Place Health Campus)
• David Edward Hansen, LCSW

• Pediatrics Physician in Shelbyville, IN
• Providers in Shelbyville, IN by specialty
• Pediatrics Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2014; 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; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.