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SURENDRA J SHAH PC
NPI 1437338829
Internal Medicine - Geriatric Medicine in Merrillville, IN

Active since November 01, 2007
5825 BROADWAY, SUITE A, MERRILLVILLE, IN 46410(219) 884-1400(219) 884-1453 Get Directions Write a Review

NPPES record last updated: December 18, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Surendra J Shah Pc NPPES

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

SURENDRA J SHAH PC (NPI 1437338829) is a healthcare organization registered as a geriatric medicine in Merrillville, Indiana and active in the NPI registry since November 2007. The organization lists Surendra J Shah, Owner, as its authorized official.

NPPES Registry Identity

NPI1437338829
Entity TypeOrganization
Primary Taxonomy207RG0300X
Legal Business NameSURENDRA J SHAH PC
Location Address5825 BROADWAY, SUITE AMerrillville, IN 46410-2687
Mailing Address5825 Broadway, Suite AMerrillville, IN 46410-2687 · (219) 884-1400 · Fax (219) 884-1453
Phone(219) 884-1400
Fax(219) 884-1453
Organization SubpartNo
Authorized OfficialSurendra J ShahOwner · (219) 884-1400
Enumeration DateNovember 1, 2007
Last NPPES UpdateDecember 18, 2007
✔ NPI 1437338829 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RG0300X
License✔ Licensed in IN · 01032180A
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.
5825 BROADWAY, Merrillville, IN 46410
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Other Identifiers 2

Medicare PIN499810
Medicare UPINC25258IN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

MRS. DARRIAN RENEE SULLIVAN DNP
Nurse Practitioner (Family)
5825 BROADWAY
MERRILLVILLE, IN 46410
Lake County (219) 689-3199
JOANNA NEWMAN
Nurse Practitioner
5825 BROADWAY, SUITE B
MERRILLVILLE, IN 46410
Lake County (219) 981-9000
FAMILY MATTERS INSTITUTE, INC.
Social Worker (Clinical)
5825 BROADWAY, SUITE D
MERRILLVILLE, IN 46410
Lake County (219) 980-4330
DR. SURENDRA J SHAH M.D.
Internal Medicine
5825 BROADWAY, SUITE A
MERRILLVILLE, IN 46410
Lake County (219) 884-1400
PRATIMA M MEHTA M.D.
Family Medicine
5825 BROADWAY, SUITE A
MERRILLVILLE, IN 46410
Lake County (219) 884-1400
MRS. GENEVA OSAWE LCSW, LMFT
Social Worker (Clinical)
5825 BROADWAY, SUITE D
MERRILLVILLE, IN 46410
Lake County (219) 980-4330

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 Surendra J Shah PC's NPI number?

The NPI number for Surendra J Shah PC is 1437338829. It was assigned to this organization in the NPPES registry on November 1, 2007.

Where is Surendra J Shah PC located?

Surendra J Shah PC is located at 5825 Broadway Suite A, Merrillville, IN 46410. The listed phone number is (219) 884-1400.

What is Surendra J Shah PC's specialty?

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

When was this NPI record last updated?

The NPPES record for Surendra J Shah PC was last updated on December 18, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.