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SEREEN SHAMOUN
NPI 1114612611
Internal Medicine - Geriatric Medicine in Indianapolis, IN

Active since April 10, 2023PECOS Enrolled
1040 WISHARD BLVD FL 2, INDIANAPOLIS, IN 46202(317) 278-7930(317) 962-5479 Get Directions Write a Review

NPPES record last updated: May 28, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 28, 2025, Jun 22, 2024, Jun 22, 2023 and 2 more (5 updates tracked since 2023).

About Sereen Shamoun NPPES

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

SEREEN SHAMOUN (NPI 1114612611) is an individual geriatric medicine provider in Indianapolis, Indiana, licensed in Illinois (125.082840) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114612611
Entity TypeIndividualFemale
Primary Taxonomy207RG0300X
Provider Legal NameSEREEN SHAMOUN
Location Address1040 WISHARD BLVD FL 2Indianapolis, IN 46202-2872
Mailing Address1040 Wishard Blvd Fl 2Indianapolis, IN 46202-2872 · (317) 278-7930 · Fax (317) 962-5479
Phone(317) 278-7930
Fax(317) 962-5479
Sole ProprietorNo
Enumeration DateApril 10, 2023
Last NPPES UpdateMay 28, 20255 updates tracked since enumeration
NPPES CertifiedMay 28, 2025
✔ NPI 1114612611 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RG0300X
License✔ Licensed in IL · 125.082840
Definition
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 11024036A (IN)
1040 WISHARD BLVD FL 2, Indianapolis, IN 46202
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sereen Shamoun is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46202 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 13

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

DR. MAREH AHMAD HASAN ABUHAMDAH MD
Student in an Organized Health Care Education/Training Program
1040 WISHARD BLVD FL 2
INDIANAPOLIS, IN 46202
Marion County (317) 985-3674
CESIAH CAROLINA MEZA MD
Student in an Organized Health Care Education/Training Program
1040 WISHARD BLVD FL 2
INDIANAPOLIS, IN 46202
Marion County (317) 278-7930
CALEB ALAN SEDAM MD
Student in an Organized Health Care Education/Training Program
1040 WISHARD BLVD FL 2
INDIANAPOLIS, IN 46202
Marion County (317) 278-7930
SARAH ARWANI
Student in an Organized Health Care Education/Training Program
1040 WISHARD BLVD FL 2
INDIANAPOLIS, IN 46202
Marion County (317) 278-7930
ADAMA JALLOH
Student in an Organized Health Care Education/Training Program
1040 WISHARD BLVD FL 2
INDIANAPOLIS, IN 46202
Marion County (317) 278-7930
SARAH ANNE BAILLIE MD
Student in an Organized Health Care Education/Training Program
1040 WISHARD BLVD FL 2
INDIANAPOLIS, IN 46202
Marion County (317) 278-7930
DR. IFIOK UMANA MB;BCH
Student in an Organized Health Care Education/Training Program
1040 WISHARD BLVD FL 2
INDIANAPOLIS, IN 46202
Marion County (317) 278-7930
YAO APEDOH AKPAMAGBO MD
Student in an Organized Health Care Education/Training Program
1040 WISHARD BLVD FL 2
INDIANAPOLIS, IN 46202
Marion County (317) 278-7930

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 Sereen Shamoun's NPI number?

The NPI number for Sereen Shamoun is 1114612611. It was assigned to this individual provider in the NPPES registry on April 10, 2023.

Where is Sereen Shamoun located?

Sereen Shamoun practices at 1040 Wishard Blvd Fl 2, Indianapolis, IN 46202. The listed phone number is (317) 278-7930.

What is Sereen Shamoun's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Is Sereen Shamoun enrolled in Medicare?

Yes. Sereen Shamoun is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sereen Shamoun was last updated on May 28, 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.