Individual provider Active NPI

Ankur Manilal Shah, M.D

  • Retina Specialist (Ophthalmology) Physician
  • Carmel, IN
National Provider Identifier
1851590343
Registry record updated Jan 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
01087700A Issued in IN
Practice address
11220 Illinois St Ste 110
Carmel, IN 46032-9847
Phone
(317) 817-1414
Fax
(317) 805-4587
NPI assigned
Jul 13, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Retina Specialist (Ophthalmology) Physician 207WX0107X 01087700A IN Primary
Ophthalmology Physician 207W00000X 01087700A IN

Addresses

Primary practice location

11220 Illinois St Ste 110
Carmel, IN 46032-9847

Mailing address

11220 Illinois St Ste 110
Carmel, IN 46032-9847
Phone (317) 817-1414

Other practice location 1

100 Professional Ct Ste 101
Lafayette, IN 47905-5132
Phone (317) 817-1414

Other practice location 2

965 Emerson Pkwy Ste A
Greenwood, IN 46143-6274
Phone (317) 817-1414

Other practice location 3

608 E Boulevard
Kokomo, IN 46902-2271
Phone (317) 817-1414

Other identifiers 2

IdentifierTypeStateIssuer
1851590343MedicaidWI
036125518 2MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20101014000074 IL Practitioner - Ophthalmology 6507058120
I20220709000704 IN Practitioner - Ophthalmology 6507058120 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Northwestern University Feinberg Medical School, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Raj K. Maturi MD PCGroup PAC ID 8729136593, 4 clinicians

Practice addresses (Care Compare)

11220 Illinois St
Suite 110
Carmel, IN 46032-9847
Phone (317) 817-1414

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01087700AINMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Raj K. Maturi MD PC Ophthalmology CurrentSince Sep 1, 2022 Accepting new patients
Midwest Eye Retina PC Ophthalmology PastSince Sep 1, 2022 Accepting new patients
Lafayette Retina Clinic PC Ophthalmology PastSince May 3, 2002 Accepting new patients

Locations

10300 N Illinois St
Ste 1060
Carmel, IN 46290
Phone (317) 805-2200

11220 Illinois St
Ste 110
Carmel, IN 46032
Phone (317) 817-1414

965 Emerson Pkwy
Ste A
Greenwood, IN 46143
Phone (317) 817-1414

555 E County Line Rd
Greenwood, IN 46143
Phone (317) 497-2100

608 E Boulevard
Kokomo, IN 46902
Phone (317) 817-1414

100 Professional Ct
Ste 101
Lafayette, IN 47905
Phone (317) 817-1414

Interoperability endpoints

  • Direct secure messaging: ashah@meirkm.intellechartdirect.net

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1184284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768348800000",
    "number": "1851590343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11220 ILLINOIS ST STE 110",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460329847",
            "telephone_number": "317-817-1414",
            "fax_number": "317-805-4587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11220 ILLINOIS ST STE 110",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460329847",
            "telephone_number": "317-817-1414",
            "fax_number": "317-805-4587"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Professional Ct Ste 101",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "IN",
            "postal_code": "479055132",
            "country_code": "US",
            "telephone_number": "317-817-1414",
            "fax_number": "317-805-4587",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "965 Emerson Pkwy Ste A",
            "address_purpose": "LOCATION",
            "city": "Greenwood",
            "state": "IN",
            "postal_code": "461436274",
            "country_code": "US",
            "telephone_number": "317-817-1414",
            "fax_number": "317-805-4587",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "608 E Boulevard",
            "address_purpose": "LOCATION",
            "city": "Kokomo",
            "state": "IN",
            "postal_code": "469022271",
            "country_code": "US",
            "telephone_number": "317-817-1414",
            "fax_number": "317-805-4587",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH",
        "first_name": "ANKUR",
        "middle_name": "MANILAL",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-13",
        "last_updated": "2026-01-14",
        "certification_date": "2026-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "IN",
            "license": "01087700A",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IN",
            "license": "01087700A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1851590343",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036125518 2",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, IN

Sources for this page

Verify at the official NPI Registry.