Individual provider Active NPI

Bahadur Shah, MD

  • Internal Medicine Physician
  • Anderson, IN
National Provider Identifier
1912010547
Registry record updated Feb 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
01078604A Issued in IN
Practice address
2015 Jackson St
Anderson, IN 46016
Phone
(765) 649-2511
NPI assigned
Aug 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35-087325 OH
Hospitalist Physician 208M00000X 01078604A IN
Internal Medicine Physician 207R00000X 01078604A IN Primary

Addresses

Primary practice location

2015 Jackson St
Anderson, IN 46016

Mailing address

250 W 96TH St # 520
Indianapolis, IN 46260-1316

Other practice location 1

500 S Cleveland Ave
Westerville, OH 43081
Phone (614) 898-4000

Other practice location 2

500 S Cleveland Ave
Westerville, OH 43081
Phone (614) 898-4000

Other identifiers 1

IdentifierTypeStateIssuer
2638006MedicaidOH

Other names 1

  • Bahadar Said Former name

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
I20170612000500 IN Practitioner - Internal Medicine 3870512270 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iu Health Medical Group LLCGroup PAC ID 9638617913, 4,382 clinicians
St Vincent Medical Group IncGroup PAC ID 7012047640, 728 clinicians

Practice addresses (Care Compare)

1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone (888) 484-3258

2015 Jackson St
Anderson, IN 46016-4337
Phone (765) 649-2511

2651 E Discovery Pkwy
Bloomington, IN 47408-9059
Phone (812) 353-9250

707 W 2ND St
Bloomington, IN 47403-2209
Phone (888) 484-3258

719 W 2ND St
Bloomington, IN 47403-2209
Phone (888) 484-3258

727 W 2ND St
Bloomington, IN 47403-2209
Phone (888) 484-3258

Hospital & facility affiliations

  • Ascension St Vincent Anderson Hospital, Anderson, IN, CCN 150088
  • Indiana University Health Bloomington Hospital Hospital, Bloomington, IN, CCN 150051
  • Ascension St Vincent Carmel Hospital, Carmel, IN, CCN 150157
  • Ascension St Vincent Kokomo Hospital, Kokomo, IN, CCN 150010
  • Ascension St Vincent Fishers Hospital, Fishers, IN, CCN 150181

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35-087325OHMDInternal Medicine Physician
01078604AINMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Vincent Physician Services Hospital and Health Care Center CurrentSince Apr 14, 2024 Accepting new patients
St Vincent Physician Services Hospital and Health Care Center Internal Medicine CurrentSince Apr 14, 2024 Accepting new patients
Sound Physicians of Indiana, LLC Internal Medicine CurrentSince May 6, 2017 Accepting new patients
Iu Health Medical Group, LLC CurrentSince Jan 1, 2026 Accepting new patients
Sound Physicians of Indiana, LLC Internal Medicine CurrentSince May 6, 2017 Accepting new patients
Hospitalist Medicine Physicians of Franklin County, LTD Internal Medicine Past Accepting new patients

Locations

2015 Jackson St
Anderson, IN 46016
Phone (765) 646-8243

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

727 W 2nd St
Bloomington, IN 47403
Phone (812) 353-3450

13500 N Meridian St
Carmel, IN 46032
Phone (317) 573-7000

1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754

8240 Naab Rd
Ste 155
Indianapolis, IN 46260
Phone (317) 338-7760

250 W 96th St
#520
Indianapolis, IN 46260
Phone (317) 583-3331

5215 Holy Cross Pkwy
Mishawaka, IN 46545
Phone (574) 335-2443

Organizations & group practices 8

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.

Hospital & facility affiliations 5

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": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549238400000",
    "number": "1912010547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 W 96TH ST # 520",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462601316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 JACKSON ST",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "46016",
            "telephone_number": "765-649-2511"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 S Cleveland Ave",
            "address_purpose": "LOCATION",
            "city": "Westerville",
            "state": "OH",
            "postal_code": "43081",
            "country_code": "US",
            "telephone_number": "614-898-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 S Cleveland Ave",
            "address_purpose": "LOCATION",
            "city": "Westerville",
            "state": "OH",
            "postal_code": "43081",
            "country_code": "US",
            "telephone_number": "614-898-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH",
        "first_name": "BAHADUR",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2019-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35-087325",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IN",
            "license": "01078604A",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01078604A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2638006",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BAHADAR",
            "last_name": "SAID",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Anderson, IN

Sources for this page

Verify at the official NPI Registry.