SHELBURN MEDICAL CLINIC
NPI 1912011537
Internal Medicine in Shelburn, IN
About Shelburn Medical Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHELBURN MEDICAL CLINIC (NPI 1912011537) is a healthcare organization registered as an internal medicine in Shelburn, Indiana and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through September 23, 2027 and lists Trupti A Bhuptani, Co Owner Md, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Names 1
Other Identifiers 2
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)
Shelburn Medical Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
10Medicare enrollment records show 10 clinicians reassign Medicare billing to Shelburn Medical Clinic, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians by Medicare Specialty 4
Clinicians, nearest first (10)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 15D0933906
Shelburn Medical Clinic · Shelburn, INFrequently 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 Terre Haute Pulmonary & Pediatric Clinic, LLC's NPI number?
The NPI number for Terre Haute Pulmonary & Pediatric Clinic, LLC is 1912011537. It was assigned to this organization in the NPPES registry on August 19, 2006. The provider is doing business as Shelburn Medical Clinic.
Where is Terre Haute Pulmonary & Pediatric Clinic, LLC located?
Terre Haute Pulmonary & Pediatric Clinic, LLC is located at 557 W Broadway St, Shelburn, IN 47879. The listed phone number is (812) 397-2440.
What is Terre Haute Pulmonary & Pediatric Clinic, LLC's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Terre Haute Pulmonary & Pediatric Clinic, LLC enrolled in Medicare?
Yes. Terre Haute Pulmonary & Pediatric Clinic, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Terre Haute Pulmonary & Pediatric Clinic, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 4 Medicare specialties reassign their Medicare billing to Terre Haute Pulmonary & Pediatric Clinic, LLC. 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 Nurse Practitioner (6), Pulmonary Disease (2) and Emergency Medicine (1). Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Terre Haute Pulmonary & Pediatric Clinic, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 15D0933906) is associated with this NPI, valid through September 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Terre Haute Pulmonary & Pediatric Clinic, LLC was last updated on September 29, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Shelburn Medical Clinic · NPI 1912011537
Internal Medicine organization in Shelburn, Indiana. Organization record, active in the CMS NPPES registry since August 19, 2006.
## Identity
- **NPI:** 1912011537 (Entity type: Organization)
- **Enumerated:** August 19, 2006
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Legal business name:** Terre Haute Pulmonary & Pediatric Clinic, Llc
- **Organization subpart:** No
- **Authorized official:** Trupti Bhuptani, CO OWNER MD
## Practice location
- **Address:** 557 W BROADWAY ST, Shelburn, IN 47879-1232
- **Phone:** (812) 397-2440 · **Fax:** (812) 397-0164
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 10 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (6), Pulmonary Disease (2), Emergency Medicine (1); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 29, 2016
- **Other identifiers:** Medicare PIN 182180 (IN); Medicaid 200391150E (IN)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1912011537) · Data from the CMS NPPES public registry.