Active NPI
Paul T Parackal, M.D.
- Child & Adolescent Psychiatry Physician
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- 01083312A
- Practice address
- 2040 N Shadeland Ave Ste 200
Indianapolis, IN 46219-1727 - Phone
- (317) 355-1800
- Fax
- (317) 355-1803
- NPI assigned
- Apr 30, 2015
- Reactivated
- Aug 24, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | 01083312A | IN | Primary |
Addresses
Primary practice location
2040 N Shadeland Ave Ste 200
Indianapolis, IN 46219-1727
Mailing address
2040 N Shadeland Ave Ste 200
Indianapolis, IN 46219-1727
Phone (317) 355-1800
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
- Psychiatry
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2040 N Shadeland Ave
Suite 250
Indianapolis, IN 46219-1712
Phone (317) 355-5009
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R3925 | KY | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Physicians of Indiana Inc | Current | Accepting new patients | |
| Community Howard Regional Health Inc | Current | Accepting new patients | |
| Community Health Network, Inc | Current | Accepting new patients | |
| Community Health Network, Inc | Current | Accepting new patients | |
| Community Physicians of Indiana Inc | Current | Accepting new patients | |
| Community Health Network, Inc. | Past | Accepting new patients |
Locations
5819 Reliable Pkwy
Chicago, IL 60686
205 N Jackson St
Frankfort, IN 46041
Phone (765) 659-4771
2040 N Shadeland Ave
Ste 200
Indianapolis, IN 46219
Phone (317) 355-1800
2040 N Shadeland Ave
Ste 250
Indianapolis, IN 46219
Phone (317) 355-4253
6626 E 75th St
Ste 500
Indianapolis, IN 46250
Phone (317) 621-7547
7165 Clearvista Way
Indianapolis, IN 46256
Phone (317) 621-5100
7120 Clearvista Dr
Ste 4000
Indianapolis, IN 46256
Phone (317) 621-7444
6950 Hillsdale Ct
Indianapolis, IN 46250
Phone (317) 621-7533
3500 S Lafountain St
Kokomo, IN 46902
Phone (765) 453-0702
Interoperability endpoints
- pparackal656008@ecommunitydirect.com
Organizations & group practices 6
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.
-
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1336119478
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Kokomo, IN
- NPI 1881947133
-
- Family Medicine Physician
- Indianapolis, IN
- NPI 1619105244
-
dba Community Fairbanks Behavioral Health
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Indianapolis, IN
- NPI 1265477632
-
dba Community Physician Network
- Endocrinology, Diabetes & Metabolism Physician
- Carmel, IN
- NPI 1992396337
-
dba Community Hospital North
- Psychiatric Hospital Unit
- Indianapolis, IN
- NPI 1679545966
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430352000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785715200000",
"number": "1972980738",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2040 N SHADELAND AVE STE 200",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462191727",
"telephone_number": "317-355-1800",
"fax_number": "317-355-1803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2040 N SHADELAND AVE STE 200",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462191727",
"telephone_number": "317-355-1800",
"fax_number": "317-355-1803"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARACKAL",
"first_name": "PAUL",
"middle_name": "T",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-04-30",
"last_updated": "2026-08-03",
"certification_date": "2026-08-03",
"deactivation_date": "2015-12-09",
"reactivation_date": "2016-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "IN",
"license": "01083312A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Aug 3, 2026; 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.