Shivani B Martin (NPI# 1558645366, PAC ID# 0749508265) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is HOSPITALIST.
| Nation Provider ID (NPI) | 1558645366 |
| PAC ID by PECOS | 0749508265 |
| Professional Enrollment ID | I20170614000218 |
| Full Name | Shivani B Martin |
| Organization Legal Name | INDIANA CLINIC CRITICAL CARE LLC |
| Address |
1633 N Capitol Ave Suite 301 Indianapolis IN 46202-1476 |
| Phone Number | 3179623400 |
| Gender | F |
| Graduation Year | 2009 |
| Primary Specialty | HOSPITALIST |
| Secondary Specialties | GERIATRIC MEDICINE, INTERNAL MEDICINE |
| Group Practice PAC ID | 3678600988 |
| Number of Group Practice Members | 152 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150161 | INDIANA UNIVERSITY HEALTH NORTH HOSPITAL |
| 150056 | INDIANA UNIVERSITY HEALTH METHODIST HOSPITAL (INDIANAPOLIS) |
| Address | Phone | Organization |
|---|---|---|
| 11700 N Meridian St, Indiana University Health North, Carmel, IN 46032-4656 | 3176882000 | UNIVERSITY FAMILY PHYSICIANS, INC. |
| 1633 N Capitol Ave, Suite 301, Indianapolis, IN 46202-1476 | 3179623400 | INDIANA CLINIC CRITICAL CARE LLC |
| 1633 N Capitol Ave, Suite 301, Indianapolis, IN 46202-1476 | 3179630601 | INDIANA UNIVERSITY HEALTH CARE ASSOCIATES INC |
| 550 University Blvd, Uh1501, Indianapolis, IN 46202-5149 | 3179481310 | UNIVERSITY FAMILY PHYSICIANS, INC. |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% |
| Organization Legal Name | INDIANA CLINIC CRITICAL CARE LLC |
| Physicians | 151 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristen Montgomery | Nurse Practitioner | Indiana Clinic Critical Care LLC | 550 University Blvd, Suite 1710, Indianapolis, IN 46202-5149 |
| Joseph T Lee | Hospitalist | Indiana Clinic Critical Care LLC | 1801 Senate Blvd, 2000 Advanced Heart and Lung, Indianapolis, IN 46202-1252 |
| Anil Achaen | Internal Medicine | Indiana Clinic Critical Care LLC | 11725 Illinois St, Suite 465, Carmel, IN 46032-3010 |
| Carole E Floyd | Nurse Practitioner | Indiana Clinic Critical Care LLC | 13100 E 136th St, Suite 3600, Fishers, IN 46037-9822 |
| Bhasker Reddy | Hospitalist | Indiana Clinic Critical Care LLC | 1115 Ronald Reagan Pkwy, Suite 171, Avon, IN 46123-6914 |
| Amanda T Trout | Physician Assistant | Indiana Clinic Critical Care LLC | 1801 Senate Blvd, 2000 Advanced Heart and Lung, Indianapolis, IN 46202-1252 |
| Jeffrey L Farmer | Hospitalist | Indiana Clinic Critical Care LLC | 1801 Senate Blvd, 2000 Advanced Heart and Lung, Indianapolis, IN 46202-1252 |
| Rajnish Khillan | Hospitalist | Indiana Clinic Critical Care LLC | 13100 E 136th St, Suite 3600, Fishers, IN 46037-9822 |
| Allyson L Thomas | Hospitalist | Indiana Clinic Critical Care LLC | 1801 Senate Blvd, 2000 Advanced Heart and Lung, Indianapolis, IN 46202-1252 |
| Stephanie L Davitto | Nurse Practitioner | Indiana Clinic Critical Care LLC | 1115 Ronald Reagan Pkwy, Suite 171, Avon, IN 46123-6914 |
| Street Address |
1633 N CAPITOL AVE SUITE 301 |
| City | INDIANAPOLIS |
| State | IN |
| Zip | 46202-1476 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kamal C Wagle | Geriatric Medicine | Indiana University Health Care Associates Inc | 1633 N Capitol Ave, 322 Senior Health Care, Indianapolis, IN 46202-1476 |
| Kimberly Ann Eckert | Nurse Practitioner | Indiana University Health Care Associates Inc | 1633 N Capitol Ave, Suite 750, Indianapolis, IN 46202-1270 |
| Tracy Dianne Gunter | Psychiatry | Indiana University Health Inc | 1633 N Capitol Ave, 300 Lifecare, Indianapolis, IN 46202-1467 |
| Darla Berry | Certified Nurse Midwife (cnm) | University Obstetricians-gynecologists,inc | 1633 N Capitol Ave, Suite 500, Indianapolis, IN 46202-1453 |
| Emily L Dock | Nurse Practitioner | Indiana Clinic Critical Care LLC | 1633 N Capitol Ave, Suite 301, Indianapolis, IN 46202-1476 |
| Susan R Defrain | Nurse Practitioner | Indiana University Health Care Associates Inc | 1633 N Capitol Ave, Suite 301, Indianapolis, IN 46202-1476 |
| Stacey Lynn Draper | Nurse Practitioner | Indiana University Health Inc | 1633 N Capitol Ave, 300 Lifecare, Indianapolis, IN 46202-1467 |
| Joycelyn L Howard | Certified Clinical Nurse Specialist (cns) | Indiana Clinic Critical Care LLC | 1633 N Capitol Ave, Suite 301, Indianapolis, IN 46202-1476 |
| Juan C Salgado Campo | Pulmonary Disease | Indiana Clinic Critical Care LLC | 1633 N Capitol Ave, Suite 301, Indianapolis, IN 46202-1476 |
| Jessica L Nicholson | Nurse Practitioner | Indiana University Health Care Associates Inc | 1633 N Capitol Ave, Suite 750, Indianapolis, IN 46202-1270 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Samantha N Jahnke | Optometry | 640 E Michigan St, Suite B, Indianapolis, IN 46202-0007 | |
| Elizabeth Ann Collins | Anesthesiology | Iu Anesthesiology Associates-pediatrics, LLC | 1130 W Michigan St, Fesler Hall Rm 204, Indianapolis, IN 46202-0269 |
| Julie D Dunlap | Anesthesiology | Iu Anesthesiology Associates-pediatrics, LLC | 1130 W Michigan St, Fesler Hall Rm 204, Indianapolis, IN 46202-0269 |
| Gabriel M Krause | Anesthesiology | Iu Anesthesiology Associates-pediatrics, LLC | 1130 W Michigan St, Fesler Hall Rm 204, Indianapolis, IN 46202-0269 |
| Jian Ye | Anesthesiology | Iu Anesthesiology Associates-pediatrics, LLC | 1130 W Michigan St, Fesler Hall Rm 204, Indianapolis, IN 46202-0269 |
| Anne E Cossu | Anesthesiology | Iu Anesthesiology Associates-pediatrics, LLC | 1130 W Michigan St, Fesler Hall Rm 204, Indianapolis, IN 46202-0269 |
| Molly Colgan Gerety | Certified Registered Nurse Anesthetist (crna) | Iu Anesthesiology Associates-pediatrics, LLC | 1130 W Michigan St, Fesler Hall Rm 204, Indianapolis, IN 46202-0269 |
| Alex J Serafin | Anesthesiology | Iu Anesthesiology Associates-pediatrics, LLC | 1130 W Michigan St, Fesler Hall Rm 204, Indianapolis, IN 46202-0269 |
| Senthilkumar Sadhasivam | Anesthesiology | Iu Anesthesiology Associates-pediatrics, LLC | 1130 W Michigan St, Fesler Hall Rm 204, Indianapolis, IN 46202-0269 |
| Donal P Dunne | Gastroenterology | Meridian Medical Group PC | 1801 N Senate Blvd, Suite 700, Indianapolis, IN 46202-1177 |
| Find all physicians in zip 46202 | |||
| City | INDIANAPOLIS |
| Zip Code | 46202 |
| Specialty | HOSPITALIST |
| City + Specialty | INDIANAPOLIS + HOSPITALIST |
Please comment or provide details below to improve the information on Shivani B Martin.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.