Mahendra M Shah, MD

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

01029974 Issued in IN

Practice address

8554 Broadway
Merrillville, IN 46410-7032

Phone

(219) 750-9581

Fax

(219) 750-9781

NPI assigned

May 18, 2006

Sex

Male

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 2

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

Specialty

Hematology/OncologyAlso: Internal Medicine

Education

Other, 1971

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mshah63966@direct.franciscanalliance.org

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.

• Cancer Care Consultants, PC

  • Hematology & Oncology Physician
  • Merrillville, IN
  • NPI 1093040719
  NPD
• Douglas a Zale MD Inc

  • Ophthalmology Physician
  • Merrillville, IN
  • NPI 1265501944
  NPD (past)
• Hammond Clinic LLC

  • Multi-Specialty Clinic/Center
  • Munster, IN
  • NPI 1366489049
  NPD (past)
• Advocate Health Centers, Inc.

  • Multi-Specialty Clinic/Center
  • Chicago, IL
  • NPI 1639111933
  NPD (past)

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551744000000",
    "number": "1801849997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 DR MARTIN LUTHER KING JR AVE NE STE 102",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871023666",
            "telephone_number": "505-727-3040",
            "fax_number": "505-727-3099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8554 BROADWAY",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464107032",
            "telephone_number": "219-750-9581",
            "fax_number": "219-750-9781"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5500 Hohman",
            "address_2": "Ste 2-F",
            "address_purpose": "LOCATION",
            "city": "Hammond",
            "state": "IN",
            "postal_code": "46320",
            "country_code": "US",
            "telephone_number": "219-932-9766",
            "fax_number": "219-932-9760",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "715 Dr Martin Luther King Jr Ave NE Ste 102",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871023666",
            "country_code": "US",
            "telephone_number": "505-727-3040",
            "fax_number": "505-727-3099",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH",
        "first_name": "MAHENDRA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2019-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "IN",
            "license": "01029974",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "82879257",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100202010A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Serene Home Care LLC
• Virginia Serrano
• Louis Robert Sertich, D.D.S., M.S.
• Aaditya Vijay Shah, MD
• Harish A Shah, MD
• Rupesh J. Shah
• Sheralee Pradeep Shah, DPT
• Surendra J Shah, M.D.
• Tarek H Shahbandar, M.D.
• Ammar M Shaheen, MD

• Hematology & Oncology Physician in Merrillville, IN
• Providers in Merrillville, IN by specialty
• Hematology & Oncology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2019; 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.