DR. TOSKHAN JAMAAL MARCEL COOPER-SHELTON (M.D., M.B.A., M.S.) – General Practice Physician, NPI 1811215312
General Practice Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
78 GENERAL PRACTICE in IN
Provider Addresses for DR. TOSKHAN JAMAAL MARCEL COOPER-SHELTON (M.D., M.B.A., M.S.)
1355 W Bloomfield Rd Ste 3
Bloomington, IN 474032051
Phone: (812) 558-0574
Type: Location
8609 TURNSTONE CT
INDIANAPOLIS, IN 462349598
Phone: (281) 408-3445
Type: Mailing
26 N ARSENAL AVE
INDIANAPOLIS, IN 462013808
Phone: (317) 632-0123
Fax: (317) 423-0608
Type: Location
1721 Washington Ave
Vincennes, IN 475914823
Phone: (812) 558-0574
Type: Location
676 E Springhill Dr
Terre Haute, IN 478026804
Phone: (812) 558-0574
Type: Location
1001 N Western Ave
Marion, IN 469522500
Phone: (812) 558-0574
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: 2025-09-25
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20131009001598 | I | General Practice | IN | TBD |
| I20140218001265 | I | Emergency Medicine | PA | TBD |
| I20250925003511 | I | General Practice | MI | TBD |
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.
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 47403)
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