Individual provider Active NPI

Michael Joseph Shugar, MD

  • Emergency Medicine Physician
  • Lafayette, IN
National Provider Identifier
1861497463
Registry record updated Aug 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
16777 Issued in NV
Practice address
5165 McCarty LN
Lafayette, IN 47905-8764
Phone
(765) 448-8000
Fax
(317) 838-4751
NPI assigned
Jun 20, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 01057154A IN
Emergency Medicine Physician 207P00000X 35072084 OH
Emergency Medicine Physician 207P00000X 16777 NV Primary

Addresses

Primary practice location

5165 McCarty LN
Lafayette, IN 47905-8764

Mailing address

250 N Shadeland Ave
Indianapolis, IN 46219-4959

Other practice location 1

3535 Southern Blvd
Kettering, OH 45429-1221
Phone (937) 395-8166

Other practice location 2

3131 Queen City Ave
Cincinnati, OH 45238-2316
Phone (513) 557-3333

Other practice location 3

3535 Pentagon Blvd
Beavercreek, OH 45431-1705
Phone (937) 702-4500

Other identifiers 4

IdentifierTypeStateIssuer
2068935MedicaidOH
264430F05OtherINMEDICARE
200219280MedicaidIN
6496214500MedicaidKY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mshugar@direct.iuhealth.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, KY, IN, NV4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20051222000417 OH Practitioner - Emergency Medicine 8921020678 Reassigns benefits to 3 organizations
I20101216000789 KY Practitioner - Emergency Medicine 8921020678 Reassigns benefits to 3 organizations
I20110321000071 IN Practitioner - Emergency Medicine 8921020678 Reassigns benefits to 3 organizations
I20161121002273 NV Practitioner - Emergency Medicine 8921020678 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01057154AINMDEmergency Medicine Physician
16777NVMDEmergency Medicine Physician
35072084OHMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Emergency Physicians LLC Emergency Medicine CurrentSince May 1, 2014 Accepting new patients
Emergency Professional Services, Inc. Emergency Medicine CurrentSince Apr 1, 2018 Accepting new patients
Ohio Emergency Professionals Inc Emergency Medicine CurrentSince Aug 1, 2015 Accepting new patients
Riverview Hospital Emergency Medicine CurrentSince Apr 1, 2023 Accepting new patients
Indiana Emergency Professionals PC Emergency Medicine CurrentSince Mar 1, 2011 Accepting new patients
Riverview Hospital CurrentSince Apr 1, 2023 Accepting new patients
Mercy Emergency Care Services, Inc. Emergency Medicine CurrentSince Mar 16, 2015 Accepting new patients
Indiana University Health Care Associates, Inc CurrentSince Jul 1, 2022 Accepting new patients
Fremont Emergency Services Scherr LTD Emergency Medicine CurrentSince Feb 24, 2017 Accepting new patients
Fremont Emergency Services Scherr LTD Emergency Medicine CurrentSince Feb 24, 2017 Accepting new patients
Williamson Emergency Physicians LLC Emergency Medicine CurrentSince Oct 9, 2018 Accepting new patients
Southern Medical Partners, LLC Emergency Medicine CurrentSince Dec 10, 2017 Accepting new patients
Major Hospital Past Accepting new patients
Ky-I Medical Services, P.S.C. Past Accepting new patients
University Medical Diagnostic Associates, Inc. Past Accepting new patients

Locations (25 of 39)

5208 Reliable Pkwy
Chicago, IL 60686

24 Six Pine Ranch Rd
Batesville, IN 47006
Phone (812) 376-3100

321 Mitchell Ave
Batesville, IN 47006
Phone (812) 933-5018

2900 16th St
Bedford, IN 47421
Phone (812) 275-1200

601 W 2nd St
Bloomington, IN 47403
Phone (812) 353-5252

14585 Hazel Dell Pkwy
Rm Urgent
Carmel, IN 46033
Phone (317) 214-5030

9690 E 116th St
Fishers, IN 46037
Phone (317) 214-5750

720 N Lincoln St
Greensburg, IN 47240
Phone (812) 522-2349

1701 N Senate Blvd
Bldg C6
Indianapolis, IN 46202
Phone (913) 962-2000

250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174

1701 S Creasy Ln
Lafayette, IN 47905
Phone (765) 502-4400

5165 McCarty Ln
Lafayette, IN 47905
Phone (800) 899-8448

600 Wilson Creek Rd
Lawrenceburg, IN 47025
Phone (812) 532-2700

395 Westfield Rd
Noblesville, IN 46060
Phone (317) 218-3136

411 W Tipton St
Seymour, IN 47274
Phone (317) 888-3505

3901 S 7th St
Terre Haute, IN 47802
Phone (812) 232-0021

80 Hospital Dr
Barbourville, KY 40906
Phone (606) 545-5500

1 Trillium Way
Corbin, KY 40701
Phone (606) 523-8521

299 Kings Daughters Dr
Hatton, KY 40601
Phone (502) 875-5240

60 Mercy Ct
Irvine, KY 40336
Phone (606) 723-2115

260 Hospital Dr
South Williamson, KY 41503
Phone (606) 237-1700

307 S Evergreen Ave
Woodbury, NJ 08096
Phone (856) 686-4300

10770 Las Vegas Blvd S
Las Vegas, NV 89183
Phone (702) 916-9002

9075 Blue Diamond Rd
Las Vegas, NV 89178
Phone (702) 916-5000

3325 S Fort Apache Rd
Las Vegas, NV 89117
Phone (702) 962-0500

Interoperability endpoints

  • Direct secure messaging: mshugar@direct.iuhealth.org

Organizations & group practices 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1119225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724284800000",
    "number": "1861497463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N SHADELAND AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462194959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5165 MCCARTY LN",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479058764",
            "telephone_number": "765-448-8000",
            "fax_number": "317-838-4751"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3535 Southern Blvd",
            "address_purpose": "LOCATION",
            "city": "Kettering",
            "state": "OH",
            "postal_code": "454291221",
            "country_code": "US",
            "telephone_number": "937-395-8166",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3131 Queen City Ave",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452382316",
            "country_code": "US",
            "telephone_number": "513-557-3333",
            "fax_number": "513-557-3332",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3535 Pentagon Blvd",
            "address_purpose": "LOCATION",
            "city": "Beavercreek",
            "state": "OH",
            "postal_code": "454311705",
            "country_code": "US",
            "telephone_number": "937-702-4500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHUGAR",
        "first_name": "MICHAEL",
        "middle_name": "JOSEPH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-20",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "01057154A",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "35072084",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NV",
            "license": "16777",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2068935",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "264430F05",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200219280",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6496214500",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mshugar@direct.iuhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5165 McCarty Ln",
            "city": "Lafayette",
            "state": "IN",
            "country_code": "US",
            "postal_code": "479058764",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lafayette, IN

Sources for this page

Verify at the official NPI Registry.