SHANEY NIKAURY PENA (MD) – Neurology Physician, NPI 1356960652

SHANEY NIKAURY PENA (MD) is a healthcare provider. based in Indianapolis, Indiana. specializing in NEUROLOGY. They hold the professional credentials MD. They hold a License No. 01093534A (IN). The NPI Number for SHANEY NIKAURY PENA (MD) is 1356960652

Main info

Female
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
SHANEY NIKAURY PENA (MD)
NPI
1356960652
Phone
(317) 278-2686
Address
1120 W MICHIGAN ST # CL642
Enumeration Date
16 April 2020
Last Update Date
18 July 2025

Doctor Profile

Medical School Name
INDIANA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
8884843258
Graduation Year
2020 (6 years ago)
PAC ID
4789005141
Group Practice PAC ID
9638617913
Professional Enrollment ID
I20250723000192
Address ID
IN462022207IN355XXSTXX400
Telehealth
Yes

Contacts

Secure Messaging
SPENA@DIRECT.IUHEALTH.ORG
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness95
Years active:6State licenses:1Other names

529 NEUROLOGY in IN

Provider Addresses for SHANEY NIKAURY PENA (MD)

  • 1120 W MICHIGAN ST # CL642

    INDIANAPOLIS, IN 462025209

    Phone: (317) 278-2686

    Type: Mailing

  • 355 W 16th St Ste 3200

    Indianapolis, IN 462022280

    Phone: (317) 963-7400

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2025-07-23

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
I20250723000192INeurologyINTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 46202)

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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: 9638617913View full group profile
NameSpecialtyState
Pediatric MedicineNC
U R O L O G YIN
Diagnostic Radiology, Interventional RadiologyNY
Nurse PractitionerIN
P A T H O L O G YIN
O T O L A R Y N G O L O G YIN
E N D O C R I N O L O G YIN
Family Practice, Sports MedicineIN
Gastroenterology, Internal MedicineIN
Orthopedic SurgeryMO

Reviews

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Frequently asked questions

Is there an official ID for SHANEY NIKAURY PENA (MD) in U.S. healthcare records?
The official identifier for SHANEY NIKAURY PENA (MD) is NPI 1356960652.
Is there an active status for SHANEY NIKAURY PENA (MD)?
For scheduling context, SHANEY NIKAURY PENA (MD) is shown as active in the registry.
What expertise is attributed to SHANEY NIKAURY PENA (MD)?
SHANEY NIKAURY PENA (MD)'s specialty line reads Neurology Physician. Clinical services aligned with this taxonomy classification.
Is SHANEY NIKAURY PENA (MD) located near Indianapolis?
SHANEY NIKAURY PENA (MD) currently maps to Indianapolis, Indiana in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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