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DR. HIMANSHU SHAH M.D.
NPI 1821090085
Pediatrics in Evansville, IN

Active since June 01, 2005PECOS Enrolled
801 SAINT MARYS DR, SUITE 502 EAST, EVANSVILLE, IN 47714(812) 485-1785(812) 485-1890 Get Directions Write a Review

NPPES record last updated: June 26, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 26, 2024, Dec 29, 2020 (2 updates tracked since 2020).

About Dr. Himanshu Shah M.d. NPPES

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

DR. HIMANSHU SHAH M.D. (NPI 1821090085) is an individual pediatrics provider in Evansville, Indiana, licensed in Indiana (01036039A) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS and maintains a secondary practice location in Evansville.

NPPES Registry Identity

NPI1821090085
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. HIMANSHU SHAHCredential: M.D.
Location Address801 SAINT MARYS DR, SUITE 502 EASTEvansville, IN 47714-0511
Mailing Address3700 Bellemeade Ave Ste 117Evansville, IN 47714-0106 · (812) 437-4333 · Fax (812) 437-4335
Phone(812) 485-1785
Fax(812) 485-1890
Sole ProprietorYes
Enumeration DateJune 1, 2005
Last NPPES UpdateJune 26, 20242 updates tracked since enumeration
NPPES CertifiedJune 26, 2024
✔ NPI 1821090085 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in IN · 01036039A
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
801 SAINT MARYS DR, Evansville, IN 47714
Open in Google Maps ↗

Secondary Practice Location 1

Location 13801 Bellemeade Ave Ste 200EEvansville, IN 47714-0114 · Phone (812) 485-7240

Other Identifiers 1

Medicaid100122510CIN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Himanshu Shah M.d. 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.

Medicare Billing Reassignment

Medicare enrollment records show Himanshu Shah reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

St Mary's Medical Group, LLC
0.2 mi
Family Medicine
3700 WASHINGTON AVE
Evansville, IN 47750
  • Reassigned Medicare billing, Indiana enrollment
  • Medicare enrollment name: St Marys Medical Group LLC
  • 288 clinicians in this Medicare group
NPI 1164852539 (812) 485-4000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47714 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 20

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

COMPLETE ANESTHESIA & PAIN LLC
Anesthesiology (Pain Medicine)
801 SAINT MARYS DR, STE 205W
EVANSVILLE, IN 47714
Vanderburgh County (812) 477-6103
CHELSEY LINETTE KUPER R.D.
Dietitian, Registered
801 SAINT MARYS DR, SUITE 205W
EVANSVILLE, IN 47714
Vanderburgh County (812) 469-3283
DR. RODERICK LANCE WARREN M.D.
Psychiatry & Neurology (Neurology)
801 SAINT MARYS DR, STE 303
EVANSVILLE, IN 47714
Vanderburgh County (812) 477-1560
MRS. DONNA C SWEETS DO
Obstetrics & Gynecology
801 SAINT MARYS DR, SUITE 309E
EVANSVILLE, IN 47714
Vanderburgh County (812) 485-1850
ST. MARY'S PHYSICIANS' HEALTH GROUP, LLC
Internal Medicine
801 SAINT MARYS DR, SUITE 302-E
EVANSVILLE, IN 47714
Vanderburgh County (812) 485-4141
SURGICAL CARE ASSOCIATES LLC
Surgery
801 SAINT MARYS DR, SUITE 205 W
EVANSVILLE, IN 47714
Vanderburgh County (812) 477-6103
PHYSICIANS' HEALTH GROUP, LLC
Internal Medicine
801 SAINT MARYS DR, SUITE 302-E
EVANSVILLE, IN 47714
Vanderburgh County (812) 485-4141
NICOLE BRENNAE WHETSTINE NP
Nurse Practitioner (Family)
801 SAINT MARYS DR
EVANSVILLE, IN 47714
Vanderburgh County (812) 491-3236

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 Himanshu Shah's NPI number?

The NPI number for Himanshu Shah is 1821090085. It was assigned to this individual provider in the NPPES registry on June 1, 2005.

Where is Himanshu Shah located?

Himanshu Shah practices at 801 Saint Marys Dr Suite 502 East, Evansville, IN 47714. The listed phone number is (812) 485-1785.

What is Himanshu Shah's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Himanshu Shah enrolled in Medicare?

Yes. Himanshu Shah is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Himanshu Shah's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Himanshu Shah reassigns Medicare benefits to St Mary's Medical Group, LLC (Evansville, IN). The 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 Himanshu Shah's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Himanshu Shah accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Himanshu 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 Himanshu Shah was last updated on June 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.