Katherine Shevelson, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

35.148242 Issued in OH

Practice address

905 Old Diley Rd
Pickerington, OH 43147-2113

Phone

(614) 864-3222

Fax

(614) 863-7388

NPI assigned

Apr 8, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other names 1

• Katherine Sentell Former name

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: katherine.shevelson@pai.gwaydirect.com
• Direct secure messaging: katherine.shevelson.2@26020.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Oh Independent Medical Group LLC

  • Family Medicine Physician
  • Columbus, OH
  • NPI 1497482111
  NPD (past)
• Pediatric Assoicates, Inc.

  • Pediatrics Physician
  • Canal Winchester, OH
  • NPI 1457346090
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1586304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739145600000",
    "number": "1104455310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 COUNTRY CLUB RD UNIT A",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432132484",
            "telephone_number": "614-501-7337",
            "fax_number": "614-434-2701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 OLD DILEY RD",
            "city": "PICKERINGTON",
            "state": "OH",
            "postal_code": "431472113",
            "telephone_number": "614-864-3222",
            "fax_number": "614-863-7388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEVELSON",
        "first_name": "KATHERINE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-08",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "57.250015",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35.148242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "SENTELL",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Crystal Shambaugh
• Rita M Sheets, RN
• Meme Shegne
• Jazmine Brianna Shelton, STNA
• Linda Diane Shelts, RN
• Dawn M Shimp
• Cara Shirley, PT
• Derek Shirley
• Abimbola A Shofu, M.D
• Morgan Elyse Shriver

• Pediatrics Physician in Pickerington, OH
• Providers in Pickerington, OH by specialty
• Pediatrics Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.