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

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: October 18, 2026.

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

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 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

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.

Medicare Billing Reassignment

Medicare enrollment records show Shan Antony reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sullivan County Community Hospital
Same address
Critical Access Hospital
2120 N SECTION ST
Sullivan, IN 47882
  • Reassigned Medicare billing, Indiana enrollment
  • Also billed through NPI 1366076564 (Indiana)
  • 19 clinicians in this Medicare group
NPI 1487450698 (812) 268-4311

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

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)
2120 N SECTION ST
SULLIVAN, IN 47882
Sullivan County (812) 268-2556
SULLIVAN COUNTY COMMUNITY HOSPITAL
Clinic/Center (Critical Access Hospital)
2120 N SECTION ST
SULLIVAN, IN 47882
Sullivan County (812) 268-4311
KEVIN BRAUN FLINN NP
Nurse Practitioner
2120 N SECTION ST
SULLIVAN, IN 47882
Sullivan County (812) 268-4311
ROBERT EALY APRN
Nurse Practitioner (Family)
2120 N SECTION ST
SULLIVAN, IN 47882
Sullivan County (812) 268-2556
PAUL NOSA-OVIASU
Family Medicine
2120 N SECTION ST
SULLIVAN, IN 47882
Sullivan County (812) 268-4311
DR. SHAHID BASHIR M.D.
Internal Medicine (Pulmonary Disease)
2120 N SECTION ST
SULLIVAN, IN 47882
Sullivan County (812) 268-2556

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 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.

Where is Shan Antony located?

Shan Antony practices at 2120 N Section St, Sullivan, IN 47882. The listed phone number is (812) 268-3318.

What is Shan Antony's specialty?

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

Is Shan Antony enrolled in Medicare?

Yes. Shan Antony 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 organization bills Medicare for Shan Antony's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shan Antony reassigns Medicare benefits to Sullivan County Community Hospital (Sullivan, IN). The 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 Shan Antony's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shan Antony accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Shan Antony 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 Shan Antony affiliated with any hospitals?

According to CMS data, Shan Antony is affiliated with Sullivan County Community Hospital.

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 14 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.