Ajay Bipin Shalwala, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

58209 Issued in MN

Practice address

300 S Bruce St
Marshall, MN 56258-1934

Phone

(507) 532-9661

NPI assigned

Jun 26, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

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

Specialty

Ophthalmology

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Avera MarshallGroup PAC ID 5799695227, 102 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Avera Marshall Regional Medical Ctr Hospital, Marshall, MN, CCN 241359
• Sleepy Eye Medical Center Hospital, Sleepy Eye, MN, CCN 241327
• Centracare - Redwood Hospital, Redwood Falls, MN, CCN 241351

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ajay.shalwala.p1@direct.delewareeyecare.nextgenshare.com
• Direct secure messaging: ashalwala582054@direct.centracare.com

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.

• Avera Marshall

  • Critical Access Hospital
  • Marshall, MN
  • NPI 1568401016
  Medicare reassignment Care Compare group NPD
• Avera Granite Falls

  • Critical Access Hospital
  • Granite Falls, MN
  • NPI 1700429610
  Medicare reassignment NPD
• Avera Granite Falls

  • Family Medicine Physician
  • Granite Falls, MN
  • NPI 1700429644
  Medicare reassignment NPD
• Avera Marshall

  • Multi-Specialty Clinic/Center
  • Marshall, MN
  • NPI 1407330301
  NPD
• Avera Marshall

  • Multi-Specialty Clinic/Center
  • Marshall, MN
  • NPI 1962641936
  NPD (past)
• Vantage Eyecare, LLC

  • Durable Medical Equipment & Medical Supplies
  • Philadelphia, PA
  • NPI 1881228930
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Avera Marshall

  • Critical Access Hospital
  • Marshall, MN
  • NPI 1568401016
  Care Compare affiliation
• Carris Health - Redwood LLC

  • Critical Access Hospital
  • Redwood Falls, MN
  • NPI 1194206748
  Care Compare affiliation
• City of Sleepy Eye

  • Critical Access Hospital
  • Sleepy Eye, MN
  • NPI 1952370348
  Care Compare affiliation

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

{
    "created_epoch": "1245974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619568000000",
    "number": "1770711889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S BRUCE ST",
            "city": "MARSHALL",
            "state": "MN",
            "postal_code": "562581934",
            "telephone_number": "507-532-9661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S BRUCE ST",
            "city": "MARSHALL",
            "state": "MN",
            "postal_code": "562581934",
            "telephone_number": "507-532-9661"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "833 S Governors Ave",
            "address_purpose": "LOCATION",
            "city": "Dover",
            "state": "DE",
            "postal_code": "199044158",
            "country_code": "US",
            "telephone_number": "302-674-1121",
            "fax_number": "302-674-3891",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHALWALA",
        "first_name": "AJAY",
        "middle_name": "BIPIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-26",
        "last_updated": "2021-04-28",
        "certification_date": "2021-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "DE",
            "license": "C1-0012198",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MN",
            "license": "58209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beverly Seehusen, RN
• Joni Jolene Seitzer, MSW, LICSW
• Chelsea Jayne Self, BSN, RN, PHN
• Mikaela Jean Serreyn
• Tony Shaikoski
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• Jason Leslie Sherman, D.C.
• Shopko Stores Operating Co LLC
• Shopko Stores Operating Co. LLC

• Ophthalmology Physician in Marshall, MN
• Providers in Marshall, MN by specialty
• Ophthalmology Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.

Verify at the official NPI Registry.