Individual provider Active NPI

Timothy James Shoemaker, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Greenwood, IN
National Provider Identifier
1871751461
Registry record updated Sep 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
01066341A Issued in IN
Practice address
1703 W Stones Crossing Rd Ste 200
Greenwood, IN 46143
Phone
(317) 859-3737
NPI assigned
May 30, 2008
Last updated
Sep 26, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 01066341A IN Primary

Addresses

Primary practice location

1703 W Stones Crossing Rd Ste 200
Greenwood, IN 46143

Mailing address

PO Box 781076
Detroit, MI 48278-1076
Phone (317) 528-4800

Other practice location 1

5230 E Stop 11 Rd
Suite 150
Indianapolis, IN 46237-6398
Phone (317) 865-5904

Other practice location 2

5230 E Stop 11 Rd
Suite 150
Indianapolis, IN 46237-6398
Phone (317) 865-5904

Other identifiers 2

IdentifierTypeStateIssuer
200944990MedicaidIN
000000620285OtherINANTHEM

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address tshoemaker98577@Direct.FranciscanAlliance.org Direct
Direct Messaging Address tshoemaker98577@Direct.FranciscanAlliance.org Direct

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20090611000098 IN Practitioner - Internal Medicine 1850441924 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Indiana University School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Franciscan Physician NetworkGroup PAC ID 3072790682, 1,152 clinicians

Practice addresses (Care Compare)

5230 E Stop 11 Rd
Suite 150
Indianapolis, IN 46237-6399
Phone (317) 865-5904

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01066341AINMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Franciscan Physician Network Current Accepting new patients
Franciscan Physician Network CurrentSince Aug 27, 2012 Accepting new patients
Franciscan Physician Network CurrentSince Aug 27, 2012 Accepting new patients
Major Hospital Past Accepting new patients

Locations

1704 Lafayette Rd
Ste 4
Crawfordsvlle, IN 47933
Phone (765) 364-3120

1703 W Stones Crossing Rd
Ste 200
Greenwood, IN 46143
Phone (317) 859-3737

5230 E Stop 11 Rd
Ste 150
Indianapolis, IN 46237
Phone (317) 856-5904

315 N Dan Jones Rd
Ste 120
Plainfield, IN 46168
Phone (317) 781-7328

150 W Washington St
Shelbyville, IN 46176
Phone (317) 392-3211

Interoperability endpoints

  • Direct secure messaging: tshoemaker98577@direct.franciscanalliance.org

Organizations & group practices 4

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1212105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695686400000",
    "number": "1871751461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 781076",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482781076",
            "telephone_number": "317-528-4800",
            "fax_number": "317-865-1479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1703 W STONES CROSSING RD STE 200",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "46143",
            "telephone_number": "317-859-3737"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5230 E Stop 11 Rd",
            "address_2": "Suite 150",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462376398",
            "country_code": "US",
            "telephone_number": "317-865-5904",
            "fax_number": "317-865-5314",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5230 E Stop 11 Rd",
            "address_2": "Suite 150",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462376398",
            "country_code": "US",
            "telephone_number": "317-865-5904",
            "fax_number": "317-865-5314",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHOEMAKER",
        "first_name": "TIMOTHY",
        "middle_name": "JAMES",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-30",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "IN",
            "license": "01066341A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200944990",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000620285",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tshoemaker98577@Direct.FranciscanAlliance.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5230 E Stop 11 Rd",
            "address_2": "Suite 150",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462376398",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tshoemaker98577@Direct.FranciscanAlliance.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1703 W Stones Crossing Rd Ste 200",
            "city": "Greenwood",
            "state": "IN",
            "country_code": "US",
            "postal_code": "46143",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greenwood, IN

Sources for this page

Verify at the official NPI Registry.