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

Individual provider Anesthesiology Physician · NPI 1356803431

Shane Johnson, MD is an Anesthesiology in Indianapolis, Indiana. Graduated from Washington University School of Medicine in 2019, 7 years ago. Practices with St Vincent Medical Group Inc, a 727-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
7
Trained at
Washington University School of Medicine
Licensed in
IN
In the registry since
2019
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

2001 W 86th St
Indianapolis, IN 46260-1902
Phone: (317) 338-2345
Fax: (317) 338-6359
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 10580 N Meridian St, Carmel, IN 46290 — (317) 583-5000

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 01092392A (IN)

Record details

NPI number1356803431
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 5, 2019
Last updated in NPPESApril 11, 2024
Certification dateApril 11, 2024

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY
Medical schoolWASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 2019 (7 years in practice)
Group practice St Vincent Medical Group Inc — 727 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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