Individual provider Active NPI

Tarek H Shahbandar, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Merrillville, IN
National Provider Identifier
1922007749
Registry record updated Sep 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
01058916A Issued in IN
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

Updated by the provider on Sep 30, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
200489820AMedicaidIN

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
I20040924000202 IN Practitioner - AnesthesiologyPractitioner - Interventional Pain Management 3870561012 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Interventional Pain Management
Education
Medical College of Wisconsin, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Methodist Hospitals IncGroup PAC ID 9638063894, 131 clinicians
Centers for Pain Control, IncGroup PAC ID 7416019450, 24 clinicians

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 Hospital, Gary, IN, CCN 150002
  • St Mary Medical Center Inc Hospital, Hobart, IN, CCN 150034

Merit-based Incentive Payment System (MIPS)

Final score
80.59 of 100Reported as individual
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

LicenseStateTypeSpecialty
01058916AINMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Centers for Pain Control, Inc Pain Medicine CurrentSince Sep 20, 2023 Accepting new patients
Centers for Pain Control, Inc CurrentSince Sep 20, 2023 Accepting new patients
The Methodist Hospitals, Inc CurrentSince Feb 1, 2025 Accepting new patients
The Methodist Hospitals, Inc. CurrentSince Feb 1, 2025 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 PastSince Apr 6, 2023 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

  • FHIR API: https://fhir4.healow.com/fhir/r4/AIJEBD
  • Direct secure messaging: 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.

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.