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DR. SHILPA MOHAN GUGGALI M.D.
NPI 1952566051
Psychiatry & Neurology - Psychiatry in Indianapolis, IN

Active since July 28, 2008PECOS EnrolledAccepts Medicare Assignment
7165 CLEARVISTA WAY, INDIANAPOLIS, IN 46256(317) 621-5100 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Sep 1, 2020, May 5, 2020 (2 updates tracked since 2020).

About Dr. Shilpa Mohan Guggali M.d. NPPES

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

DR. SHILPA MOHAN GUGGALI M.D. (NPI 1952566051) is an individual psychiatry provider in Indianapolis, Indiana, licensed in Indiana (01071889B) and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS, is affiliated with Community Hospital East, and maintains a secondary practice location in Terre Haute.

NPPES Registry Identity

NPI1952566051
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameDR. SHILPA MOHAN GUGGALICredential: M.D.
Location Address7165 CLEARVISTA WAYIndianapolis, IN 46256-4621
Mailing Address6626 E 75th St Ste 500Indianapolis, IN 46250-2890
Phone(317) 621-5100
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateJuly 28, 2008
Last NPPES UpdateNovember 27, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 1, 2020
✔ NPI 1952566051 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in IN · 01071889B
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedPsychiatry & Neurology · Sleep MedicineTaxonomy 2084S0012X · License 01071889B (IN)
7165 CLEARVISTA WAY, Indianapolis, IN 46256
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Secondary Practice Location 1

Location 1221 S 6th StTerre Haute, IN 47807-4214 · Phone (812) 242-3120 · Fax (812) 242-3846

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Shilpa Mohan Guggali M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3870774854
PECOS Enrollment IDI20131202000723
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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
592 services138 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
71 services68 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
64 services61 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
20 services12 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Community Hospital East

Acute Care Hospitals · Indianapolis, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150074
Location1500 N Ritter AveIndianapolis, IN 46219 · Marion County
Emergency services Birthing friendly

Community Hospital North

Acute Care Hospitals · Indianapolis, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150169
Location7150 Clearvista DrIndianapolis, IN 46256 · Marion County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46256 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
$161.76 typical visit price
range $53.07 – $161.76
Typical copayment $40.44 (range $13.26 – $40.44)
Most-billed visit code 99205
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.

MR. YAMEEN ABDUL-NUR CHESTNUT LMFT
Marriage & Family Therapist
7165 CLEARVISTA WAY
INDIANAPOLIS, IN 46256
Marion County (317) 621-5100
WENDY BUDWIG
Social Worker (Clinical)
7165 CLEARVISTA WAY
INDIANAPOLIS, IN 46256
Marion County (317) 621-5100
ANGELA WATTS LCSW
Social Worker (Clinical)
7165 CLEARVISTA WAY
INDIANAPOLIS, IN 46256
Marion County (317) 621-5100
ZACHARY ALAN MONTGOMERY
Student in an Organized Health Care Education/Training Program
7165 CLEARVISTA WAY
INDIANAPOLIS, IN 46256
Marion County (317) 621-5700
SARA LIANG WORSHAM DO
Student in an Organized Health Care Education/Training Program
7165 CLEARVISTA WAY
INDIANAPOLIS, IN 46256
Marion County (317) 621-5700
SYED KAZMI DO
Student in an Organized Health Care Education/Training Program
7165 CLEARVISTA WAY
INDIANAPOLIS, IN 46256
Marion County (317) 621-5700
KELLY NADINE SOFORIC LMHC
Counselor (Mental Health)
7165 CLEARVISTA WAY
INDIANAPOLIS, IN 46256
Marion County (317) 621-5100
LESLIE RENEE MONTES FERRIS LCSW
Social Worker (Clinical)
7165 CLEARVISTA WAY
INDIANAPOLIS, IN 46256
Marion County (317) 621-5100

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 Shilpa Guggali's NPI number?

The NPI number for Shilpa Guggali is 1952566051. It was assigned to this individual provider in the NPPES registry on July 28, 2008.

Where is Shilpa Guggali located?

Shilpa Guggali practices at 7165 Clearvista Way, Indianapolis, IN 46256. The listed phone number is (317) 621-5100.

What is Shilpa Guggali's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Shilpa Guggali enrolled in Medicare?

Yes. Shilpa Guggali is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Shilpa Guggali accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and UnitedHealthcare list Shilpa Guggali as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Shilpa Guggali affiliated with any hospitals?

According to CMS data, Shilpa Guggali is affiliated with Community Hospital East and Community Hospital North.

When was this NPI record last updated?

The NPPES record for Shilpa Guggali was last updated on November 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.