SHADELAND FAMILY CARE CENTER
NPI 1477626398
Family Medicine in Indianapolis, IN
About Shadeland Family Care Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHADELAND FAMILY CARE CENTER (NPI 1477626398) is a healthcare organization registered as a family medicine in Indianapolis, Indiana and active in the NPI registry since November 2006. The organization lists Jeffery Kirkham, Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Names 1
Other Identifiers 5
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Shadeland Family Care Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
175Medicare enrollment records show 175 clinicians reassign Medicare billing to Shadeland Family Care Center, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 124 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 11
Nearest to this location (20)
See all 175Indianapolis, IN 46219
Indianapolis, IN 46219
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Community Hospitals Of Indiana Inc's NPI number?
The NPI number for Community Hospitals Of Indiana Inc is 1477626398. It was assigned to this organization in the NPPES registry on November 16, 2006. The provider is doing business as Shadeland Family Care Center.
Where is Community Hospitals Of Indiana Inc located?
Community Hospitals Of Indiana Inc is located at 2040 N Shadeland Ave Suite 300, Indianapolis, IN 46219. The listed phone number is (317) 355-3232.
What is Community Hospitals Of Indiana Inc's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Community Hospitals Of Indiana Inc enrolled in Medicare?
Yes. Community Hospitals Of Indiana Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Community Hospitals Of Indiana Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 175 clinicians in 11 Medicare specialties reassign their Medicare billing to Community Hospitals Of Indiana Inc. A 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 the clinician's services. The largest specialties are Clinical Social Worker (68), Mental Health Counselor (43) and Psychiatry (31). Of these, 3 practice at this address and 124 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Community Hospitals Of Indiana Inc was last updated on October 13, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Shadeland Family Care Center · NPI 1477626398
Family Medicine organization in Indianapolis, Indiana. Organization record, active in the CMS NPPES registry since November 16, 2006.
## Identity
- **NPI:** 1477626398 (Entity type: Organization)
- **Enumerated:** November 16, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Legal business name:** Community Hospitals Of Indiana Inc
- **Organization subpart:** Yes (part of Community Hospitals Of Indiana Inc)
- **Authorized official:** Jeffery Kirkham, CFO
## Practice location
- **Address:** 2040 N SHADELAND AVE, SUITE 300, Indianapolis, IN 46219-1711
- **Phone:** (317) 355-3232 · **Fax:** (317) 355-6042
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 175 clinicians in 11 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Clinical Social Worker (68), Mental Health Counselor (43), Psychiatry (31); 3 practice at this address and 124 within 10 miles; [full list](https://npiprofile.com/npi/1477626398/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 13, 2011
- **Other identifiers:** Other 5942684 (IN); Other 000000226100 (IN); Medicaid 100121170A (IN); and 2 more
---
Source: [NPI Profile](https://npiprofile.com/npi/1477626398) · Data from the CMS NPPES public registry.