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SHELBURN MEDICAL CLINIC
NPI 1912011537
Internal Medicine in Shelburn, IN

Active since August 19, 2006CLIA 15D0933906 · Waiver
557 W BROADWAY ST, SHELBURN, IN 47879(812) 397-2440(812) 397-0164 Get Directions Write a Review

NPPES record last updated: September 29, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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

NPI1912011537
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameTERRE HAUTE PULMONARY & PEDIATRIC CLINIC, LLC
Location Address557 W BROADWAY STShelburn, IN 47879-1232
Mailing Address4525 S Springhill JctTerre Haute, IN 47802-4563 · (812) 234-6053 · Fax (812) 234-1722
Phone(812) 397-2440
Fax(812) 397-0164
Organization SubpartNo
Authorized OfficialTrupti A BhuptaniCo Owner Md · (812) 234-6053
Enumeration DateAugust 19, 2006
Last NPPES UpdateSeptember 29, 2016
✔ NPI 1912011537 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in IN · 01038772A✔ Licensed in IN · 01055950A
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedGeneral PracticeTaxonomy 208D00000X · License 01038772A (IN)
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 71000843A (IN)
557 W BROADWAY ST, Shelburn, IN 47879
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Other Names 1

Doing Business AsShelburn Medical Clinic

Other Identifiers 2

Medicare PIN182180IN
Medicaid200391150EIN

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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, IN
Active · expires Sep 23, 2027
CLIA Number15D0933906
Laboratory TypePhysician Office
Certificate Effective DateSeptember 24, 2025
Certificate Expiration DateSeptember 23, 2027
Laboratory DirectorDivyesh Purohit
Laboratory Phone(812) 397-2440
Laboratory LocationShelburn Medical Clinic557 W Broadway, Shelburn, IN 47879
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

UNION ASSOCIATED PHYSICIANS CLINIC, LLC
Internal Medicine (Hematology & Oncology)
557 W BROADWAY ST
SHELBURN, IN 47879
Sullivan County (812) 234-0098
INTERNAL MEDICINE NEPHROLOGY, INC.
Internal Medicine (Nephrology)
557 W BROADWAY ST
SHELBURN, IN 47879
Sullivan County (812) 232-8716
SULLIVAN COUNTY INTERNAL MEDICINE LLC
Internal Medicine
557 W BROADWAY ST
SHELBURN, IN 47879
Sullivan County (812) 397-2440

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 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.

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 9 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.