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

Shine Duncan

Individual provider Physician Assistant · NPI 1104422625

Shine Duncan is a Physician Assistant in Indianapolis, Indiana. Graduated from Indiana University School of Medicine in 2020, 6 years ago. Practices with Community Physicians of Indiana Inc, a 1,577-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Indiana.

Years since qualifying
6
Trained at
Indiana University School of Medicine
Licensed in
IN
In the registry since
2020
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Practice location Address checks out

1440 E County Line Rd Ste 2100
Indianapolis, IN 46227-0963
Phone: (317) 887-7968
Fax: (317) 497-2526
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 10003132A (IN)

Record details

NPI number1104422625
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 9, 2020
Last updated in NPPESJune 11, 2021
Certification dateJune 11, 2021
Mailing address6626 E 75th St Ste 500, Indianapolis, IN 46250-2890

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolINDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduated 2020 (6 years in practice)
Group practice Community Physicians Of Indiana Inc — 1577 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

Other providers in Indianapolis