DR. SHILPA SHAH O.D.
NPI 1336472661
Optometrist in Indianapolis, IN

Active since September 18, 2009PECOS EnrolledAccepts Medicare Assignment
6985 W 38TH ST STE 100, INDIANAPOLIS, IN 46254(317) 243-0028(317) 243-0805 Get Directions Write a Review

NPPES record last updated: March 31, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Shilpa Shah O.d. NPPES

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

DR. SHILPA SHAH O.D. (NPI 1336472661) is an individual optometrist in Indianapolis, Indiana, licensed in Indiana (18003667A) and active in the NPI registry since September 2009. She is enrolled in Medicare PECOS and is a graduate of Illinois College Of Optometry At Chicago (2009).

NPPES Registry Identity

NPI1336472661
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. SHILPA SHAHCredential: O.D.
Location Address6985 W 38TH ST STE 100Indianapolis, IN 46254-3918
Mailing Address1950 Old Gallows Rd Ste 520Vienna, VA 22182-3970 · (703) 847-8899 · Fax (571) 223-6780
Fax(317) 243-0805
Sole ProprietorYes
Medical School CMSIllinois College Of Optometry At ChicagoGraduated 2009
Enumeration DateSeptember 18, 2009
Last NPPES UpdateMarch 31, 2022
NPPES CertifiedMarch 31, 2022
NPI 1336472661 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses Licensed in IN · 18003667A Licensed in IN · 18003667
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
6985 W 38TH ST STE 100, Indianapolis, IN 46254

Accepted 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

Dr. Shilpa Shah O.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 ID2264617356
PECOS Enrollment IDI20110505000481
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.

Areas of Expertise CMS Part B claims 2

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 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.
50 services48 patients
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.
22 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46254 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
Most-billed visit code 99213
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 3

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

Optometrist
6985 W 38TH ST STE 100
INDIANAPOLIS, IN 46254
Optometrist
6985 W 38TH ST STE 100
INDIANAPOLIS, IN 46254
Optometrist
6985 W 38TH ST STE 100
INDIANAPOLIS, IN 46254

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 Shilpa Shah's NPI number?

The NPI number for Shilpa Shah is 1336472661. It was assigned to this individual provider in the NPPES registry on September 18, 2009.

Where is Shilpa Shah located?

Shilpa Shah practices at 6985 W 38th St Ste 100, Indianapolis, IN 46254. The listed phone number is (317) 243-0028.

What is Shilpa Shah's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Shilpa Shah enrolled in Medicare?

Yes. Shilpa 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.

What insurance does Shilpa Shah accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana and 6 other insurers list Shilpa 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.

When was this NPI record last updated?

The NPPES record for Shilpa Shah was last updated on March 31, 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.