DR. SHIVA PRASAD GANGADHAR (M.D.) – Physical Medicine & Rehabilitation Physician, NPI 1043585946

DR. SHIVA PRASAD GANGADHAR (M.D.) is a healthcare provider. based in Indianapolis, Indiana. specializing in PHYSICAL MEDICINE AND REHABILITATION. They hold the professional credentials M.D.. They hold a License No. 01075188A (IN). The NPI Number for DR. SHIVA PRASAD GANGADHAR (M.D.) is 1043585946

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
DR. SHIVA PRASAD GANGADHAR (M.D.)
NPI
1043585946
Phone
(317) 588-7130
Address
6330 E 75TH ST STE 110
Enumeration Date
12 March 2012
Last Update Date
8 December 2020

Doctor Profile

Medical School Name
INDIANA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
3175887130
Graduation Year
2011 (15 years ago)
PAC ID
8224278965
Group Practice PAC ID
1557256740
Professional Enrollment ID
I20150709001142
Address ID
IN462502717IN6330XSTXX401

Contacts

Secure Messaging
sgangadhar@directaddress.net
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness85
Years active:14State licenses:1Other namesUpdated within 12 months

217 PHYSICAL MEDICINE AND REHABILITATION in IN

Provider Addresses for DR. SHIVA PRASAD GANGADHAR (M.D.)

  • 6330 E 75TH ST STE 110

    INDIANAPOLIS, IN 462502717

    Phone: (317) 588-7130

    Fax: (317) 588-7133

    Type: Mailing

  • 6330 E 75TH ST

    STE 110

    INDIANAPOLIS, IN 462502777

    Phone: (317) 588-7149

    Fax: (317) 588-7150

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $185.

Total Amount is formed as General ($185) + Research ($0) + Ownership ($0) = $185.

Last reported payment date: 2024-11-20 • Largest payer in this snapshot: ABBVIE INC. ($148).

Total Amount

$185

General + Research + Ownership

Payments

10

Total payment records

General Amount

$185

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-20

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-07-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150709001142IPhysical Medicine And RehabilitationINTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes1,085398$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes455228$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes241228$0
99239Hospital discharge day management, more than 30 minutes196191$0
99213Established patient office or other outpatient visit, 20-29 minutes10240$0
View full utilization report →

Insurance plans in this area (ZIP 46250)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1557256740View full group profile
NameSpecialtyState
Physical Medicine And RehabilitationIN
Physical Medicine And RehabilitationNC
-IN
Physician AssistantIN
R H E U M A T O L O G YIN
Physical Medicine And RehabilitationNJ
Physical Medicine And RehabilitationIN

Reviews

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Frequently asked questions

What unique ID ties claims to DR. SHIVA PRASAD GANGADHAR (M.D.)?
NPI 1043585946 is assigned to DR. SHIVA PRASAD GANGADHAR (M.D.) under the national enumeration system.
Does this profile mean DR. SHIVA PRASAD GANGADHAR (M.D.) is currently active?
Yes — DR. SHIVA PRASAD GANGADHAR (M.D.) appears active in the national provider directory.
What kind of provider is DR. SHIVA PRASAD GANGADHAR (M.D.)?
The page reflects Physical Medicine & Rehabilitation Physician for DR. SHIVA PRASAD GANGADHAR (M.D.). Clinical services aligned with this taxonomy classification.
Where is DR. SHIVA PRASAD GANGADHAR (M.D.)'s primary listing?
We display Indianapolis, Indiana because that is what the record indicates for DR. SHIVA PRASAD GANGADHAR (M.D.).
What if Indianapolis, Indiana seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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