SHAN JOSEPH ANTONY MD
NPI 1093444382
Family Medicine in Sullivan, IN

Q: What is Shan Antony's NPI number?

The NPI number for Shan Antony is 1093444382. It was assigned to this individual provider in the NPPES registry on June 10, 2022.

Q: What is Shan Antony's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Shan Antony was last updated on August 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since June 10, 2022PECOS EnrolledAccepts Medicare Assignment

2120 N SECTION ST, SULLIVAN, IN 47882(812) 268-3318 Get Directions Write a Review

NPPES record last updated: August 7, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 7, 2025, Jun 10, 2022 (2 updates tracked since 2022).

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About Shan Joseph Antony Md NPPES

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

SHAN JOSEPH ANTONY MD (NPI 1093444382) is an individual family medicine provider in Sullivan, Indiana, licensed in Indiana (01094891A) and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS, is affiliated with Sullivan County Community Hospital, and is a graduate of Indiana University School Of Medicine (2022).

NPPES Registry Identity

NPI1093444382

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameSHAN JOSEPH ANTONYCredential: MD

Location Address2120 N SECTION STSullivan, IN 47882-7518

Mailing AddressPo Box 10Sullivan, IN 47882-0010 · (812) 268-4311

Phone(812) 268-3318

Sole ProprietorNo

Medical School CMSIndiana University School Of MedicineGraduated 2022

Enumeration DateJune 10, 2022

Last NPPES UpdateAugust 7, 20252 updates tracked since enumeration

NPPES CertifiedAugust 7, 2025

✔ NPI 1093444382 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in IN · 01094891A

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

2120 N SECTION ST, Sullivan, IN 47882

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shan Joseph Antony 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 ID8426437344

PECOS Enrollment IDI20250714000424

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.

Hospital Affiliations CMS Care Compare

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

Sullivan County Community Hospital

Critical Access Hospitals · Sullivan, IN

OwnershipGovernment - Local

CMS Certification Number151327

Location2200 N Section StSullivan, IN 47882 · Sullivan County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47882 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

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 6

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

DR. DANIEL CHOYCE CALLAHAN MD

Psychiatry & Neurology (Pain Medicine)