MR. CHARLES MITCHELL SHOFNER
NPI 1912563594
Internal Medicine in Indianapolis, IN

Q: What is Charles Shofner's NPI number?

The NPI number for Charles Shofner is 1912563594. It was assigned to this individual provider in the NPPES registry on May 19, 2019.

Q: What is Charles Shofner's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Charles Shofner was last updated on July 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.

Active since May 19, 2019PECOS Enrolled

1481 W 10TH ST, INDIANAPOLIS, IN 46202(317) 554-0000 Get Directions Write a Review

NPPES record last updated: July 8, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 8, 2025, May 12, 2021, Apr 9, 2021 and 1 more (4 updates tracked since 2019).

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About Mr. Charles Mitchell Shofner NPPES

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

MR. CHARLES MITCHELL SHOFNER (NPI 1912563594) is an individual internal medicine provider in Indianapolis, Indiana, licensed in Indiana (1912563594) and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1912563594

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameMR. CHARLES MITCHELL SHOFNER

Location Address1481 W 10TH STIndianapolis, IN 46202-2803

Mailing Address705 Riley Hospital Dr Rm 5837Indianapolis, IN 46202-5109 · (317) 948-0003

Phone(317) 554-0000

Sole ProprietorYes

Enumeration DateMay 19, 2019

Last NPPES UpdateJuly 8, 20254 updates tracked since enumeration

NPPES CertifiedJuly 8, 2025

✔ NPI 1912563594 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in IN · 1912563594

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 ListedPediatricsTaxonomy 208000000X · License 1912563594 (IN)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1481 W 10TH ST, Indianapolis, IN 46202

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Secondary Practice Locations 2

Location 1500 S Preston St Rm 305Louisville, KY 40202-1702 · Phone (502) 852-8696

Location 2705 Riley Hospital Dr Rm 5837Indianapolis, IN 46202-5109 · Phone (317) 948-0003

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Charles Mitchell Shofner 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46202 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

$122.49 typical visit price

range $53.07 – $161.76

Typical copayment $30.62 (range $13.26 – $40.44)

Most-billed visit code 99204

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.

DR. SATISH KENCHAIAH MD, MPH

Internal Medicine (Cardiovascular Disease)