SHEKAR M PUSHPALA M.D.
NPI 1295872257
Family Medicine in Carmel, IN

Active since January 31, 2007PECOS EnrolledAccepts Medicare Assignment
13250 HAZEL DELL PKWY STE 104, CARMEL, IN 46033(317) 415-6900 Get Directions Write a Review

NPPES record last updated: August 9, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 9, 2022, Feb 19, 2019, Apr 17, 2017 and 1 more (4 updates tracked since 2015).

About Shekar M Pushpala M.d. NPPES

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

SHEKAR M PUSHPALA M.D. (NPI 1295872257) is an individual family medicine provider in Carmel, Indiana, licensed in Indiana (01063905A) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Ascension St Vincent Hospital, and maintains a secondary practice location in Marion.

NPPES Registry Identity

NPI1295872257
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameSHEKAR M PUSHPALACredential: M.D.
Location Address13250 HAZEL DELL PKWY STE 104Carmel, IN 46033-8527
Mailing Address13250 Hazel Dell Pkwy Ste 104Carmel, IN 46033-8527
Sole ProprietorNo
Medical School CMSOtherGraduated 1982
Enumeration DateJanuary 31, 2007
Last NPPES UpdateAugust 9, 20224 updates tracked since enumeration
NPPES CertifiedAugust 9, 2022
✔ NPI 1295872257 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 · 01063905A
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.
13250 HAZEL DELL PKWY STE 104, Carmel, IN 46033

Secondary Practice Location 1

Location 11700 E 38th StMarion, IN 46953-4568 · Phone (765) 674-3321

Other Identifiers 1

OtherP01512445IN · Rr Medicare

Accepted 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

Shekar M Pushpala M.d. 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 ID6305933649
PECOS Enrollment IDI20071102000100
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 Shekar Pushpala reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
13400 N MERIDIAN ST STE 304
Carmel, IN 46032
  • Reassigned Medicare billing, Indiana enrollment
  • 945 clinicians in this Medicare group
Urgent Care
90 E GARNER RD
Brownsburg, IN 46112
  • Reassigned Medicare billing, Indiana enrollment
  • 146 clinicians in this Medicare group
Internal Medicine
3851 N RIVER RD
W Lafayette, IN 47906
  • Reassigned Medicare billing, Indiana enrollment
  • 23 clinicians in this Medicare group

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 4

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.
128 services125 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.
31 services31 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428
This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.
18 services18 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
17 services16 patients

Hospital Affiliations CMS Care Compare

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

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46033 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 10

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

Clinic/Center (Urgent Care)
13250 HAZEL DELL PKWY STE 104
CARMEL, IN 46033
Family Medicine
13250 HAZEL DELL PKWY STE 104
CARMEL, IN 46033
Nurse Practitioner (Family)
13250 HAZEL DELL PKWY STE 104
CARMEL, IN 46033
Nurse Practitioner (Family)
13250 HAZEL DELL PKWY STE 104
CARMEL, IN 46033
Family Medicine
13250 HAZEL DELL PKWY STE 104
CARMEL, IN 46033
Physician Assistant
13250 HAZEL DELL PKWY STE 104
CARMEL, IN 46033
Family Medicine
13250 HAZEL DELL PKWY STE 104
CARMEL, IN 46033
Nurse Practitioner (Primary Care)
13250 HAZEL DELL PKWY STE 104
CARMEL, IN 46033

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 Shekar Pushpala's NPI number?

The NPI number for Shekar Pushpala is 1295872257. It was assigned to this individual provider in the NPPES registry on January 31, 2007.

Where is Shekar Pushpala located?

Shekar Pushpala practices at 13250 Hazel Dell Pkwy Ste 104, Carmel, IN 46033. The listed phone number is (317) 415-6900.

What is Shekar Pushpala's specialty?

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

Is Shekar Pushpala enrolled in Medicare?

Yes. Shekar Pushpala 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 Shekar Pushpala's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shekar Pushpala reassigns Medicare benefits to 3 organizations: St. Vincent Medical Group, Inc. (Carmel, IN), Indiana University Health Urgent Care Centers, LLC (Brownsburg, IN) and Hamilton Medical Consultants LLC (W Lafayette, 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 Shekar Pushpala's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shekar Pushpala accept?

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

According to CMS data, Shekar Pushpala is affiliated with Ascension St Vincent Hospital.

When was this NPI record last updated?

The NPPES record for Shekar Pushpala was last updated on August 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.