Individual provider Active NPI

Paul T Parackal, M.D.

  • Child & Adolescent Psychiatry Physician
  • Indianapolis, IN
National Provider Identifier
1972980738
Registry record updated Aug 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
01083312A Issued in IN
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

Updated by the provider on Aug 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250724000194 IN Practitioner - Psychiatry 2264728708 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Health Network IncGroup PAC ID 1850203977, 95 clinicians

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

LicenseStateTypeSpecialty
R3925KYMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Community Physicians of Indiana Inc CurrentSince Jul 16, 2025 Accepting new patients
Community Howard Regional Health Inc CurrentSince Jul 16, 2025 Accepting new patients
Community Health Network, Inc Current Accepting new patients
Community Health Network, Inc CurrentSince Jul 16, 2025 Accepting new patients
Community Physicians of Indiana Inc CurrentSince Jul 16, 2025 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.