Active NPI
Tarek H Shahbandar, M.D.
- Pain Medicine (Anesthesiology) Physician
- Merrillville, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- 01058916A
- Practice address
- 8687 Connecticut St
Ste D
Merrillville, IN 46410-5541 - Phone
- (219) 750-9630
- Fax
- (219) 750-9451
- NPI assigned
- Jul 14, 2005
- 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 |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 01058916A | IN | Primary |
| Interventional Pain Medicine Physician | 208VP0014X | 01058916A | IN |
Addresses
Primary practice location
8687 Connecticut St
Ste D
Merrillville, IN 46410-5541
Mailing address
8687 Connecticut St
Ste D
Merrillville, IN 46410-5541
Phone (219) 750-9630
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200489820A | Medicaid | IN |
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
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Medical College of Wisconsin, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
101 E 87TH Ave
Merrillville, IN 46410-7335
1275 E N St
Crown Point, IN 46307-3538
Phone (219) 663-2793
200 E 89TH Ave
Merrillville, IN 46410-7318
Phone (219) 738-5330
8687 Connecticut St
Suite D
Merrillville, IN 46410-5541
Phone (219) 476-7246
8701 Broadway
Merrillville, IN 46410-7035
Phone (219) 738-4926
Hospital & facility affiliations
- Methodist Hospitals Inc
- St Mary Medical Center Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.59 of 100
- Quality
- 43.99
- Promoting interoperability
- 90
- Improvement activities
- 40
- Cost
- 76.2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01058916A | IN | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centers for Pain Control, Inc | Pain Medicine | Current | Accepting new patients |
| Centers for Pain Control, Inc | Current | Accepting new patients | |
| The Methodist Hospitals, Inc | Current | Accepting new patients | |
| The Methodist Hospitals, Inc. | Current | Accepting new patients | |
| The Methodist Hospitals, Inc | Current | Accepting new patients | |
| Centers for Pain Control Inc. | Past | Accepting new patients | |
| Mobile Anesthesiologists Chicago LLC | Past | Accepting new patients | |
| Lindenhurst Anesthesia PLLC | Past | Accepting new patients | |
| Interventional Pain Management LLC | Past | Accepting new patients | |
| Interventional Pain Consultants | Past | Accepting new patients | |
| The Board of Trustees of the University of Illinois | Past | Accepting new patients |
Locations
1740 W Taylor St
#3200
Chicago, IL 60612
Phone (312) 996-4021
1740 W Taylor St
Ste 3200
Chicago, IL 60612
Phone (312) 996-4020
27350 Network Pl
Chicago, IL 60673
1275 E North St
Crown Point, IN 46307
Phone (219) 663-2793
201 Main St
Ste A
Hobart, IN 46342
Phone 2194767246321
1500 S Lake Park Ave
Hobart, IN 46342
Phone (219) 942-0551
201 Main St
Hobart, IN 46342
Phone 2194767246 ext. 321
208 Legacy Plz W
Laporte, IN 46350
Phone (219) 326-7246
204 Legacy Plz W
Laporte, IN 46350
Phone (219) 326-7246
8687 Connecticut St
Ste D
Merrillville, IN 46410
Phone (219) 750-9630
8701 Broadway
Merrillville, IN 46410
Phone (219) 738-4926
200 E 89th Ave
Merrillville, IN 46410
Phone (219) 738-4926
101 E 87th Ave
Merrillville, IN 46410
Phone (219) 738-6670
1928 45th St
Munster, IN 46321
Phone 2194767246 ext. 321
1924 45th St
Munster, IN 46321
Phone 2194767246321
2500 Calumet Ave
Ste E
Valparaiso, IN 46383
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/AIJEBD
- tarek.shahbandar.1@16383.direct.athenahealth.com
Organizations & group practices 11
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.
-
- Pain Medicine Physician
- La Porte, IN
- NPI 1790920452
-
- Internal Medicine Physician
- Gary, IN
- NPI 1720290349
-
- Specialist
- Oak Brook, IL
- NPI 1528220175
-
- Pain Medicine Physician
- Munster, IN
- NPI 1609333723
-
- Neurology Physician
- Gary, IN
- NPI 1720290588
-
- Orthopaedic Surgery Physician
- Merrillville, IN
- NPI 1518295948
-
- Pain Medicine Physician
- Valparaiso, IN
- NPI 1174945927
-
- Ambulatory Surgical Clinic/Center
- La Porte, IN
- NPI 1306274097
-
- Anesthesiology Physician
- Rosemont, IL
- NPI 1962416396
-
- Anesthesiology Physician
- Rosemont, IL
- NPI 1396887774
-
- Occupational Medicine Physician
- Chicago, IL
- NPI 1043727571
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hobart, IN
- NPI 1558463745
-
- General Acute Care Hospital
- Hobart, IN
- NPI 1962504175
-
- General Acute Care Hospital
- Gary, IN
- NPI 1467504555
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1443571200000",
"number": "1922007749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8687 CONNECTICUT ST",
"address_2": "STE D",
"city": "MERRILLVILLE",
"state": "IN",
"postal_code": "464105541",
"telephone_number": "219-750-9630",
"fax_number": "219-750-9451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8687 CONNECTICUT ST",
"address_2": "STE D",
"city": "MERRILLVILLE",
"state": "IN",
"postal_code": "464105541",
"telephone_number": "219-750-9630",
"fax_number": "219-750-9451"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAHBANDAR",
"first_name": "TAREK",
"middle_name": "H",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-14",
"last_updated": "2015-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "IN",
"license": "01058916A",
"primary": true
},
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "IN",
"license": "01058916A",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200489820A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Merrillville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2015; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.