SHELBI K GROTHAUS PA
NPI 1912639162
Physician Assistant in Indianapolis, IN

Q: What is Shelbi Grothaus's NPI number?

The NPI number for Shelbi Grothaus is 1912639162. It was assigned to this individual provider in the NPPES registry on June 27, 2022.

Q: What is Shelbi Grothaus's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Shelbi Grothaus was last updated on September 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since June 27, 2022PECOS Enrolled

705 RILEY HOSPITAL DR, INDIANAPOLIS, IN 46202(317) 274-4779(317) 948-9806 Get Directions Write a Review

NPPES record last updated: September 27, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 27, 2022, Sep 16, 2022, Aug 18, 2022 (3 updates tracked since 2022).

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About Shelbi K Grothaus Pa NPPES

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

SHELBI K GROTHAUS PA (NPI 1912639162) is an individual physician assistant in Indianapolis, Indiana, licensed in Indiana (10003693A) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912639162

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameSHELBI K GROTHAUSCredential: PA

Location Address705 RILEY HOSPITAL DRIndianapolis, IN 46202-5109

Mailing AddressPo Box 1026Indianapolis, IN 46206-1026 · (317) 777-6435 · Fax (317) 777-6644

Phone(317) 274-4779

Fax(317) 948-9806

Sole ProprietorNo

Enumeration DateJune 27, 2022

Last NPPES UpdateSeptember 27, 20223 updates tracked since enumeration

NPPES CertifiedSeptember 27, 2022

✔ NPI 1912639162 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in IN · 10003693A

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

705 RILEY HOSPITAL DR, Indianapolis, IN 46202

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Other Identifiers 1

Medicaid300066158IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shelbi K Grothaus Pa 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

$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

$66.48 typical visit price

range $16.93 – $132.22

Typical copayment $16.62 (range $4.23 – $33.05)

Most-billed visit code 99213

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.

MOHANNAD MOALLEM M.D.

Pediatrics (Neonatal-Perinatal Medicine)