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

Luke Shadiow, DO-GRADUATE05/2019

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1861952319

Luke Shadiow, DO-GRADUATE05/2019 is a General Surgery in Indianapolis, Indiana. Qualified in 2019, 7 years ago. Practices with Naab Road Surgical Group PC, a 16-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
7
Licensed in
IN
In the registry since
2019
Specialties on file
3

Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Indianapolis, IN

Additional practice locations (1)

  • 8414 Naab Rd, Indianapolis, IN 46260-1972 — (317) 338-7510

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 02007335A (IN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (IN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1861952319
Entity typeIndividual (Type 1)
GenderMale
Credentials DO-GRADUATE05/2019
Sole proprietorYes
NPI enumeratedMarch 21, 2019
Last updated in NPPESJuly 9, 2025
Certification dateJuly 9, 2025

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Naab Road Surgical Group Pc — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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