Shashi K Polavarapu, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

01061114A Issued in IN

Practice address

1130 N J St
Richmond, IN 47374-1913

Phone

(765) 983-3298

Fax

(765) 983-7970

NPI assigned

May 5, 2006

Last updated

Dec 7, 2021By 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 2

Electronic endpoints 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

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: spolavarapu301208@ecommunitydirect.com
• Direct secure messaging: spolavarapu301208@reidhealth.direct-ci.com

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.

• FWBH, LLC

  dba Maple Heights Behavioral Health

  • Psychiatric Hospital
  • Fort Wayne, IN
  • NPI 1932843117
  Medicare reassignment NPD
• Nettle Creek Health Care Center PC

  • Family Medicine Physician
  • Hagerstown, IN
  • NPI 1700940061
  NPD (past)
• Compass Health, Inc

  dba Compass Health Network

  • Community/Behavioral Health Agency
  • Clinton, MO
  • NPI 1285619494
  NPD (past)
• State of Missouri

  dba Nevada Habilitation Center

  • General Practice Physician
  • Nevada, MO
  • NPI 1114971702

  Psychiatry

  NPD (past)
• State of Missouri

  dba Developmental Disabilities Behavior Services

  • Psychiatry Physician
  • Kansas City, MO
  • NPI 1386198448
  NPD (past)

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638835200000",
    "number": "1861440208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 REID PKWY",
            "address_2": "MEDICAL STAFF SERVICES",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473741157",
            "telephone_number": "765-983-3050",
            "fax_number": "765-983-7950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 N J ST",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473741913",
            "telephone_number": "765-983-3298",
            "fax_number": "765-983-7970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLAVARAPU",
        "first_name": "SHASHI",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-05",
        "last_updated": "2021-12-07",
        "certification_date": "2021-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IN",
            "license": "01061114A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200800790",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000730376",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "spolavarapu301208@ReidHealth.direct-ci.com",
            "affiliation": "Y",
            "affiliationName": "Reid Physician Associates, Inc.",
            "address_1": "1130 N J St",
            "city": "Richmond",
            "state": "IN",
            "country_code": "US",
            "postal_code": "473741913",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Planned Parenthood of Indiana Richmond
• Rachel Platts, RDCD
• Laura M Poe
• Michelle Poe
• Kathryn Pointis, FNP
• Courtney Polley, RBT
• Kelsey Pope, RBT
• Tori Pope, RBT
• Lexus Porfidio-McMiller, RBT
• Amy Jewell Potter, LPN

• Psychiatry Physician in Richmond, IN
• Providers in Richmond, IN by specialty
• Psychiatry Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.