Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Anusha Gopalkrishna Shanbhag

Individual provider Cardiovascular Disease Physician · NPI 1205219516

Anusha Gopalkrishna Shanbhag is a Cardiovascular Disease (Cardiology) in Edgewood, Kentucky. Qualified in 2014, 12 years ago. Practices with Summit Medical Group Inc, a 799-clinician group and accepts Medicare assignment. Licensed in Indiana and Kentucky.

Years since qualifying
12
Licensed in
IN, KY
In the registry since
2015
Specialties on file
2

Practice location Address checks out

711 Medical Village Dr
Edgewood, KY 41017-3439
Phone: (859) 287-3045
Fax: (859) 578-3800
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence 56945 (KY)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence 01087807A (IN)

Record details

NPI number1205219516
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 6, 2015
Last updated in NPPESDecember 18, 2025
Certification dateDecember 18, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCARDIOVASCULAR DISEASE (CARDIOLOGY)
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Summit Medical Group Inc — 799 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Edgewood