SHADELAND FAMILY CARE CENTER
NPI 1922178516
Pediatrics in Indianapolis, IN

NPI Status: Active since November 09, 2006

Contact Information

2040 N SHADELAND AVE
SUITE 300
INDIANAPOLIS, IN
ZIP 46219
Phone: (317) 355-2122
Fax: (317) 355-6042

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  • Organization
  • Pediatrics

About SHADELAND FAMILY CARE CENTER

This page provides the complete NPI Profile along with additional information for Shadeland Family Care Center, a pediatrician established in Indianapolis, Indiana operating as a Pediatrics. The healthcare provider is registered in the NPI registry with number 1922178516 assigned on November 2006. The practitioner's primary taxonomy code is 208000000X. The provider is registered as an organization and their NPI record was last updated 15 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Shadeland Family Care Center. The authorized official of this NPI record is Jeffery Kirkham (Cfo)

NPI
1922178516
Provider Legal Name
COMMUNITY HOSPITALS OF INDIANA INC
Other Organization Name
SHADELAND FAMILY CARE CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2040 N SHADELAND AVE SUITE 300 INDIANAPOLIS, IN 46219
Location Phone
(317) 355-2122
Location Fax
(317) 355-6042
Mailing Address
3826 SOLUTIONS CTR CHICAGO, IL 60677
Mailing Phone
(317) 355-5837
Mailing Fax
(317) 355-6042
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
11-09-2006
Last Update Date
02-02-2011
Code Navigator

A pediatrician like Shadeland Family Care Center is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pediatrics

Taxonomy Code
208000000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JEFFERY KIRKHAM

Authorized Official Title
CFO
Authorized Official Phone
(317) 355-4887

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
000000107139OTHER (01)INANTHEM
000000226100OTHER (01)INANTHEM
7984442OTHER (01)INAETNA
823720MEDICARE PIN (08)IN 
100236570BMEDICAID (05)IN 

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1922178516, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
2
Doubled → 4
Pos 4
2
Unchanged
Pos 5
1
Doubled → 2
Pos 6
7
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
5
Unchanged
Pos 9
1
Doubled → 2
Check
6
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 1 → 2 8 → 16 → 7 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 4 + 2 + 2 + 7 + 1 + 6 + 5 + 2 + 24 = 64

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 64 is 70. The difference is the calculated check digit.

70 - 64 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1922178516.

Other Providers at the Same Location


The following 19 providers are registered at the same or a nearby location.

Internal Medicine
2040 N SHADELAND AVE, SUITE 310
INDIANAPOLIS, IN 46219
Family Medicine
2040 N SHADELAND AVE, SUITE 300
INDIANAPOLIS, IN 46219
Pharmacist
2040 N SHADELAND AVE
INDIANAPOLIS, IN 46219
Pediatrics
2040 N SHADELAND AVE
INDIANAPOLIS, IN 46219
Social Worker (Clinical)
2040 N SHADELAND AVE, STE 250
INDIANAPOLIS, IN 46219
Social Worker (Clinical)
2040 N SHADELAND AVE, STE 250
INDIANAPOLIS, IN 46219
Social Worker (Clinical)
2040 N SHADELAND AVE
INDIANAPOLIS, IN 46219
Counselor (Mental Health)
2040 N SHADELAND AVE, SUITE 200
INDIANAPOLIS, IN 46219
Counselor (Addiction (Substance Use Disorder))
2040 N SHADELAND AVE, SUITE 200
INDIANAPOLIS, IN 46219
Counselor (Mental Health)
2040 N SHADELAND AVE, STE 200
INDIANAPOLIS, IN 46219
Social Worker (Clinical)
2040 N SHADELAND AVE, STE 250
INDIANAPOLIS, IN 46219
Family Medicine
2040 N SHADELAND AVE, SUITE 300
INDIANAPOLIS, IN 46219
Internal Medicine
2040 N SHADELAND AVE, SUITE 310
INDIANAPOLIS, IN 46219
Family Medicine
2040 N SHADELAND AVE, SUITE 130
INDIANAPOLIS, IN 46219
Nurse Practitioner (Psychiatric/Mental Health)
2040 N SHADELAND AVE, STE 200
INDIANAPOLIS, IN 46219
Family Medicine
2040 N SHADELAND AVE, SUITE 130
INDIANAPOLIS, IN 46219
Family Medicine
2040 N SHADELAND AVE, SUITE 130
INDIANAPOLIS, IN 46219
Social Worker (Clinical)
2040 N SHADELAND AVE
INDIANAPOLIS, IN 46219
Nurse Practitioner (Psychiatric/Mental Health)
2040 N SHADELAND AVE
INDI, IN 46219

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1922178516, enumerated as an "organization" on November 09, 2006.

The provider is located at 2040 N SHADELAND AVE SUITE 300 INDIANAPOLIS, IN 46219 and the phone number is (317) 355-2122.

Pediatrics with taxonomy code 208000000X.

The provider might be accepting Accepts: Anthem Blue Cross, Medicare, Medicaid and Aetna. Please consult your insurance carrier or call the provider to verify.