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NAMRATA SHAH MD
NPI 1023252665
Internal Medicine - Hematology & Oncology in Avon, IN

Active since April 27, 2009PECOS EnrolledAccepts Medicare Assignment
1111 RONALD REAGAN PKWY STE B1500, AVON, IN 46123(317) 217-2244(317) 217-2249 Get Directions Write a Review

NPPES record last updated: March 20, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 20, 2025, Mar 29, 2021 (2 updates tracked since 2021).

About Namrata Shah Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NAMRATA SHAH MD (NPI 1023252665) is an individual hematology & oncology provider in Avon, Indiana, licensed in Indiana (01081834A) and active in the NPI registry since April 2009. She is enrolled in Medicare PECOS, is affiliated with Hancock Regional Hospital, and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (2009).

NPPES Registry Identity

NPI1023252665
Entity TypeIndividualFemale
Primary Taxonomy207RH0003X
Provider Legal NameNAMRATA SHAHCredential: MD
Location Address1111 RONALD REAGAN PKWY STE B1500Avon, IN 46123-7085
Mailing Address801 N State StGreenfield, IN 46140-1270 · (317) 462-5544
Phone(317) 217-2244
Fax(317) 217-2249
Sole ProprietorNo
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 2009
Enumeration DateApril 27, 2009
Last NPPES UpdateMarch 20, 20252 updates tracked since enumeration
NPPES CertifiedMarch 20, 2025
✔ NPI 1023252665 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
Licenses✔ Licensed in IN · 01081834A✔ Licensed in NM · MD2015-0598
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Also ListedInternal MedicineTaxonomy 207R00000X · License MD2015-0598 (NM)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License S000-6337-9938 (IL)
1111 RONALD REAGAN PKWY STE B1500, Avon, IN 46123
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Namrata Shah Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4385951904
PECOS Enrollment IDI20190524002100
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Namrata Shah reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Iu Health Medical Group, LLC
9.6 mi
General Practice
1701 N SENATE BLVD
Indianapolis, IN 46202
  • Reassigned Medicare billing, Indiana enrollment
  • 5,212 clinicians in this Medicare group
NPI 1326893777 (317) 962-2000
Hancock Physician Network, LLC
30 mi
Family Medicine
156 W MUSKEGON DR
Greenfield, IN 46140
  • Reassigned Medicare billing, Indiana enrollment
  • 203 clinicians in this Medicare group
NPI 1609806470 (317) 468-6260
Hancock Regional Hospital
31 mi
Surgery
1 MEMORIAL SQ STE 100
Greenfield, IN 46140
  • Reassigned Medicare billing, Indiana enrollment
  • 68 clinicians in this Medicare group
NPI 1114016987 (317) 462-3255

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
489 services228 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
264 services76 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
48 services32 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
29 services13 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
12 services12 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Hancock Regional Hospital

Acute Care Hospitals · Greenfield, IN
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number150037
Location801 N State StGreenfield, IN 46140 · Hancock County
Emergency services Birthing friendly

Indiana University Health

Acute Care Hospitals · Indianapolis, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150056
Location1701 N Senate BlvdIndianapolis, IN 46202 · Marion County
Emergency services Birthing friendly

Ascension St Vincent Hospital

Acute Care Hospitals · Indianapolis, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number150084
Location2001 W 86th StIndianapolis, IN 46260 · Marion County
Emergency services Birthing friendly

Indiana University Health Ball Memorial Hospital

Acute Care Hospitals · Muncie, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150089
Location2401 University AveMuncie, IN 47303 · Delaware County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46123 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$161.76 typical visit price
range $53.07 – $161.76
Typical copayment $40.44 (range $13.26 – $40.44)
Most-billed visit code 99205
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHANTANIECE SHERRELL NP
Nurse Practitioner
1111 RONALD REAGAN PKWY STE B1500
AVON, IN 46123
Hendricks County (317) 217-2244
AMERICAN HEALTH NETWORK OF INDIANA, LLC
Durable Medical Equipment & Medical Supplies
1111 RONALD REAGAN PKWY STE B1500
AVON, IN 46123
Hendricks County (317) 217-2244

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Namrata Shah's NPI number?

The NPI number for Namrata Shah is 1023252665. It was assigned to this individual provider in the NPPES registry on April 27, 2009.

Where is Namrata Shah located?

Namrata Shah practices at 1111 Ronald Reagan Pkwy Ste B1500, Avon, IN 46123. The listed phone number is (317) 217-2244.

What is Namrata Shah's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Namrata Shah enrolled in Medicare?

Yes. Namrata Shah is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Namrata Shah's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Namrata Shah reassigns Medicare benefits to 3 organizations: Iu Health Medical Group, LLC (Indianapolis, IN), Hancock Physician Network, LLC (Greenfield, IN) and Hancock Regional Hospital (Greenfield, IN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Namrata Shah's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Namrata Shah accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 2 other insurers list Namrata Shah as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Namrata Shah affiliated with any hospitals?

According to CMS data, Namrata Shah is affiliated with Hancock Regional Hospital, Indiana University Health, Ascension St Vincent Hospital and Indiana University Health Ball Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Namrata Shah was last updated on March 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.