Shotaro Sano, D.O

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

02005352A Issued in IN

Practice address

2451 Intelliplex Dr Ste 280
Shelbyville, IN 46176-8580

Phone

(317) 392-0222

Fax

(317) 392-0722

NPI assigned

Oct 21, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Specialty

General Surgery

Education

University of Pikeville, Kentucky College of Osteopathic Med, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rush Memorial HospitalGroup PAC ID 7012802754, 68 clinicians

Major HospitalGroup PAC ID 0446167415, 100 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Major Hospital Hospital, Shelbyville, IN, CCN 150097
• Rush Memorial Hospital Hospital, Rushville, IN, CCN 151304

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: shotarosano@rushmemorial.cernerdirect.com

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.

• Major Hospital

  • General Acute Care Hospital
  • Shelbyville, IN
  • NPI 1174555692
  Medicare reassignment Care Compare group NPD
• Rush Memorial Hospital

  • Critical Access Hospital
  • Rushville, IN
  • NPI 1497726020

  Surgery

  Medicare reassignment Care Compare group NPD
• Major Multispecialty Associates

  • Internal Medicine Physician
  • Shelbyville, IN
  • NPI 1437398492

  Surgery

  Medicare reassignment NPD
• Major Hospital

  • Rural Health Clinic/Center
  • Shelbyville, IN
  • NPI 1689421554
  NPD
• Major Multispecialty Associates

  • Orthopaedic Surgery Physician
  • Shelbyville, IN
  • NPI 1245405869
  NPD
• Rush Memorial Hospital

  • Community/Retail Pharmacy
  • Rushville, IN
  • NPI 1952139248
  NPD
• X-Ray Physicians of Shelbyville PC

  • Diagnostic Radiology Physician
  • Shelbyville, IN
  • NPI 1144351347
  NPD
• Major Hospital

  • Skilled Nursing Facility
  • Gary, IN
  • NPI 1306953740
  NPD (past)
• Rush Memorial Hospital

  • Rural Health Clinic/Center
  • Rushville, IN
  • NPI 1659935781
  NPD (past)

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

• Major Hospital

  • General Acute Care Hospital
  • Shelbyville, IN
  • NPI 1174555692
  Care Compare affiliation
• Rush Memorial Hospital

  • Critical Access Hospital
  • Rushville, IN
  • NPI 1497726020
  Care Compare affiliation

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

{
    "created_epoch": "1413849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739750400000",
    "number": "1962806851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2451 INTELLIPLEX DR",
            "city": "SHELBYVILLE",
            "state": "IN",
            "postal_code": "461768580",
            "telephone_number": "317-392-0222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2451 INTELLIPLEX DR STE 280",
            "city": "SHELBYVILLE",
            "state": "IN",
            "postal_code": "461768580",
            "telephone_number": "317-392-0222",
            "fax_number": "317-392-0722"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "327 Beach 19th St",
            "address_purpose": "LOCATION",
            "city": "Far Rockaway",
            "state": "NY",
            "postal_code": "116914423",
            "country_code": "US",
            "telephone_number": "317-512-3876",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "110 E 13th St",
            "address_purpose": "LOCATION",
            "city": "Rushville",
            "state": "IN",
            "postal_code": "461732126",
            "country_code": "US",
            "telephone_number": "765-932-7063",
            "fax_number": "765-932-7065",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANO",
        "first_name": "SHOTARO",
        "name_prefix": "Dr.",
        "credential": "D.O",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-10-21",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IN",
            "license": "02005352A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "SHOTAROSANO@rushmemorial.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Clinical Documents and CCD Exchange",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Clinical Documents and CCD Exchange",
            "address_1": "110 E 13th St",
            "city": "Rushville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "461732126",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Meghan Connor Roby, DPM
• Kelsey Romans, PHARMD
• Jacob Robert Ross, FNP-BC
• Joshua Ryan Rothwell
• Bradley Michael Rund, MSN, APRN, FNP-BC
• Amanda Rae Savell, PA-C
• Diane Marie Scearce, DDS
• R Gregory Scheible, MD
• Heather Marie Schilling, NP
• Candace Schmidt, PSY.D.

• Surgery Physician in Shelbyville, IN
• Providers in Shelbyville, IN by specialty
• Surgery Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2025; 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.

Verify at the official NPI Registry.