DR. JUSTIN WANG SHI MD
NPI 1700528148
Student in an Organized Health Care Education/Training Program in Indianapolis, IN
NPI Status: Active since April 07, 2022
Contact Information
1120 W MICHIGAN ST # CL630
INDIANAPOLIS, IN
ZIP 46202
Phone: (317) 278-2686
- Individual
- Male
- Student in an Organized Health Care Educ...
- PECOS Enrolled
About JUSTIN SHI
This page provides the complete NPI Profile along with additional information for Justin Shi, a primary care provider established in Indianapolis, Indiana with a medical specialization in Student In An Organized Health Care Education/training Program. The healthcare provider is registered in the NPI registry with number 1700528148 assigned on April 2022. The practitioner's primary taxonomy code is 390200000X. The provider is registered as an individual and his NPI record was last updated 3 years ago.
- NPI
- 1700528148
- Provider Name
- DR. JUSTIN WANG SHI MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1120 W MICHIGAN ST # CL630 INDIANAPOLIS, IN 46202
- Location Phone
- (317) 278-2686
- Mailing Address
- 1120 W MICHIGAN ST # CL630 INDIANAPOLIS, IN 46202
- Mailing Phone
- (317) 278-2686
- Is Sole Proprietor?
- No
- Enumeration Date
- 04-07-2022
- Last Update Date
- 04-08-2022
- Code Navigator
A primary care provider (PCP) like Justin Shi sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Student in an Organized Health Care Education/Training Program
- Taxonomy Code
- 390200000X
- Type
- Student, Health Care
- Taxonomy Description
- An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Medicare Participation & PECOS Enrollment Status
Justin Shi is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 0 | 0 | 5 | 2 | 8 | 1 | 4 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 0 | 0 | 10 | 2 | 16 | 1 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 0 + 0 + 1 + 0 + 2 + 1 + 6 + 1 + 8 + 24 = 52 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 52 = 8 | 8 | ||||||||
The NPI number 1700528148 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1568992014 | MARK RYAN KAUTH MD Individual | Student in an Organized Health Care Education/Training Program | 1120 W MICHIGAN ST # CL630 INDIANAPOLIS, IN 46202 (317) 278-2686 |
| 1265954739 | ZAHRA ZIA MD Individual | Student in an Organized Health Care Education/Training Program | 1120 W MICHIGAN ST # CL630 INDIANAPOLIS, IN 46202 (317) 278-2686 |
| 1114480050 | LEANNE WOIEWODSKI Individual | Student in an Organized Health Care Education/Training Program | 1120 W MICHIGAN ST # CL630 INDIANAPOLIS, IN 46202 (317) 278-2689 |
| 1831728211 | ELIE KOZAILY MD Individual | Student in an Organized Health Care Education/Training Program | 1120 W MICHIGAN ST # CL630 INDIANAPOLIS, IN 46202 (317) 278-2689 |
| 1609495217 | DR. ALEXIS KAISER MD Individual | Student in an Organized Health Care Education/Training Program | 1120 W MICHIGAN ST # CL630 INDIANAPOLIS, IN 46202 (317) 278-2686 |
| 1184074486 | JOSEPH DANIEL HELFENBERGER MD Individual | Internal Medicine | 1120 W MICHIGAN ST # CL630 INDIANAPOLIS, IN 46202 (317) 278-2687 |
| 1891305819 | DR. AHMED ELTARRAS Individual | Student in an Organized Health Care Education/Training Program | 1120 W MICHIGAN ST # CL630 INDIANAPOLIS, IN 46202 (214) 713-1025 |
| 1124556568 | ZADE SHAW MD Individual | Psychiatry & Neurology (Neurology) | 1120 W MICHIGAN ST # CL630 INDIANAPOLIS, IN 46202 (317) 278-2686 |
| 1902477821 | YARA KHALIFEH MD Individual | Student in an Organized Health Care Education/Training Program | 1120 W MICHIGAN ST # CL630 INDIANAPOLIS, IN 46202 (317) 278-2689 |
| 1851962765 | JULIO RENATO BEAS NINO DE GUZMAN MD Individual | Student in an Organized Health Care Education/Training Program | 1120 W MICHIGAN ST # CL630 INDIANAPOLIS, IN 46202 (317) 278-2689 |
| 1013650001 | MICHAEL SAM ROSENHECK Individual | Student in an Organized Health Care Education/Training Program | 1120 W MICHIGAN ST # CL630 INDIANAPOLIS, IN 46202 (317) 278-2686 |
| 1033852108 | SAIISHITHA NALAMOLU DO Individual | Student in an Organized Health Care Education/Training Program | 1120 W MICHIGAN ST # CL630 INDIANAPOLIS, IN 46202 (317) 278-2686 |
| 1104568310 | ISAAC LAMB Individual | Student in an Organized Health Care Education/Training Program | 1120 W MICHIGAN ST # CL630 INDIANAPOLIS, IN 46202 (317) 274-2686 |
| 1124761515 | ADEDOYIN ESTHER JOHNSON Individual | Student in an Organized Health Care Education/Training Program | 1120 W MICHIGAN ST # CL630 INDIANAPOLIS, IN 46202 (317) 278-2686 |
| 1154065795 | DR. PHALGUN CHANDRA NARLA DO Individual | Psychiatry & Neurology (Neurology) | 1120 W MICHIGAN ST # CL630 INDIANAPOLIS, IN 46202 (317) 278-2686 |
| 1215671078 | AARON PHILIP CHUM Individual | Student in an Organized Health Care Education/Training Program | 1120 W MICHIGAN ST # CL630 INDIANAPOLIS, IN 46202 (317) 278-2686 |
| 1295478436 | PHILLIP PHI PHAM MD Individual | Student in an Organized Health Care Education/Training Program | 1120 W MICHIGAN ST # CL630 INDIANAPOLIS, IN 46202 (317) 278-2686 |
| 1346983038 | JARED MICHAEL STUART Individual | Student in an Organized Health Care Education/Training Program | 1120 W MICHIGAN ST # CL630 INDIANAPOLIS, IN 46202 (317) 278-2686 |
| 1346983392 | RAECHEL ACKERMAN DO Individual | Student in an Organized Health Care Education/Training Program | 1120 W MICHIGAN ST # CL630 INDIANAPOLIS, IN 46202 (317) 278-2686 |
| 1366184145 | VIDYA SREE DANDU MD Individual | Student in an Organized Health Care Education/Training Program | 1120 W MICHIGAN ST # CL630 INDIANAPOLIS, IN 46202 (317) 278-2686 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1700528148, enumerated in the NPI registry as an "individual" on April 07, 2022
The provider is located at 1120 W Michigan St # Cl630 Indianapolis, In 46202 and the phone number is (317) 278-2686
The provider's speciality is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
This NPI record was last updated on April 07, 2022. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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