NPIMap

Organization Active NPI

Karen T. Shirrell, MD

  • Internal Medicine Physician
  • Indianapolis, IN
National Provider Identifier
1770914574
Registry record updated Dec 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
01036141 Issued in IN
Legal business name
KAREN T. SHIRRELL, MD
Practice address
1427 W 86TH St
Suite #152
Indianapolis, IN 46260-2103
Phone
(317) 889-0635
Fax
(317) 889-0635
NPI assigned
Dec 3, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2016

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

Authorized official

Name
Dr. Karen T Shirrell, M.D.NPI 1922009109
Title
Owner
Phone
(317) 257-2076

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 01036141 IN Primary

Addresses

Primary practice location

1427 W 86TH St
Suite #152
Indianapolis, IN 46260-2103

Mailing address

1427 W 86TH St
Suite #152
Indianapolis, IN 46260-2103
Phone (317) 889-0635

Other identifiers 1

IdentifierTypeStateIssuer
100126690MedicaidIN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1386028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481500800000",
    "number": "1770914574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1427 W 86TH ST",
            "address_2": "SUITE #152",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462602103",
            "telephone_number": "317-889-0635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1427 W 86TH ST",
            "address_2": "SUITE #152",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462602103",
            "telephone_number": "317-889-0635",
            "fax_number": "317-889-0635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAREN T. SHIRRELL, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-03",
        "last_updated": "2016-12-12",
        "status": "A",
        "authorized_official_last_name": "SHIRRELL",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-257-2076",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01036141",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100126690",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Dec 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.