Active NPI
George J. Sheplock, MD
- Pediatric Anesthesiology Physician
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Anesthesiology Physician
- License
- 01042722
- Practice address
- 1120 South Dr
Fesler Hall Room 204
Indianapolis, IN 46202-5135 - Phone
- (317) 614-9850
- Fax
- (800) 731-0751
- NPI assigned
- May 30, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 01042722 | IN | |
| Pediatric Anesthesiology Physician | 207LP3000X | 01042722 | IN | Primary |
Addresses
Primary practice location
1120 South Dr
Fesler Hall Room 204
Indianapolis, IN 46202-5135
Mailing address
PO Box 6069-Dept 106
Indianapolis, IN 46206-6069
Phone (317) 614-9850
Other practice location 1
705 Riley Hospital Dr
Indianapolis, IN 46202-5109
Phone (317) 944-9981
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200005720 | Medicaid | IN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | GSHEPLOC@direct.iuhealth.org |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01042722 | IN | MD | Pediatric Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iu Health Medical Group Riley Specialists, LLC | Current | Accepting new patients |
Locations
705 Riley Hospital Dr
Indianapolis, IN 46202
Phone (317) 274-4779
702 Barnhill Dr
Indianapolis, IN 46202
Phone (317) 274-0273
Interoperability endpoints
- gsheploc@direct.iuhealth.org
Organizations & group practices 1
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.
-
- Pediatrics Physician
- Indianapolis, IN
- NPI 1699561480
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612137600000",
"number": "1881641140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6069-DEPT 106",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462066069",
"telephone_number": "317-614-9850",
"fax_number": "800-731-0751"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1120 SOUTH DR",
"address_2": "FESLER HALL ROOM 204",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462025135",
"telephone_number": "317-614-9850",
"fax_number": "800-731-0751"
}
],
"practiceLocations": [
{
"address_1": "705 Riley Hospital Dr",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462025109",
"country_code": "US",
"telephone_number": "317-944-9981",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHEPLOCK",
"first_name": "GEORGE",
"middle_name": "J.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-30",
"last_updated": "2021-02-01",
"certification_date": "2021-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "IN",
"license": "01042722",
"primary": false
},
{
"code": "207LP3000X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pediatric Anesthesiology",
"state": "IN",
"license": "01042722",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200005720",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "GSHEPLOC@direct.iuhealth.org",
"affiliation": "N",
"address_1": "705 Riley Hospital Dr",
"city": "Indianapolis",
"state": "IN",
"country_code": "US",
"postal_code": "462025109",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 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.