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

Shadi M Resheidat, MD

Individual provider Family Medicine Physician · NPI 1790895571

Shadi M Resheidat, MD is a Family Practice in Lafayette, Indiana. Qualified in 1999, 27 years ago. Practices with Unity Healthcare LLC, a 62-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Indiana.

Years since qualifying
27
Licensed in
IN
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3554 Promenade Pkwy Ste F
Lafayette, IN 47909-8418
Phone: (765) 471-9146
Fax: (765) 477-0277
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 01058532A (IN)

Record details

NPI number1790895571
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 30, 2006
Last updated in NPPESMarch 23, 2021
Certification dateMarch 23, 2021

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Unity Healthcare Llc — 62 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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