Individual provider Active NPI

Jason Shonk, MD

  • Diagnostic Radiology Physician
  • Columbus, OH
National Provider Identifier
1114906211
Registry record updated May 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
35085818 Issued in OH
Practice address
3525 Olentangy River Rd
Ste 5360
Columbus, OH 43214-3937
Phone
(614) 340-7747
Fax
(614) 340-7742
NPI assigned
Jan 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 35085818 OH Primary

Addresses

Primary practice location

3525 Olentangy River Rd
Ste 5360
Columbus, OH 43214-3937

Mailing address

100 E Campus View Blvd
Ste 160
Columbus, OH 43235-4647
Phone (614) 396-4750

Other identifiers 2

IdentifierTypeStateIssuer
P00245187OtherOHRR MEDICARE
2569073MedicaidOH

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20050616000644 OH Practitioner - Diagnostic Radiology 9436139862 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Riverside Radiology and Interventional Associates IncGroup PAC ID 8729976964, 251 clinicians

Practice addresses (Care Compare)

3535 Olentangy River Rd
Columbus, OH 43214-3908
Phone (614) 566-5000

Hospital & facility affiliations

  • Riverside Methodist Hospital Hospital, Columbus, OH, CCN 360006
  • Grady Memorial Hospital Hospital, Delaware, OH, CCN 360210
  • Dublin Methodist Hospital Hospital, Dublin, OH, CCN 360348
  • Ohiohealth Mansfield Hospital Hospital, Mansfield, OH, CCN 360118
  • Avita Ontario Hospital, Ontario, OH, CCN 360365

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35085818OHMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Riverside Radiology and Interventional Associates Inc Diagnostic Radiology CurrentSince Jul 1, 2005 Accepting new patients
Carelife Imaging, LLC CurrentSince Sep 1, 2021 Accepting new patients
Imaging Consultants of Findlay, Inc Diagnostic Radiology Past Accepting new patients
Central Ohio Primary Care Physicians, Inc. Past Accepting new patients

Locations

1025 Center St
Ashland, OH 44805
Phone (419) 207-2370

139 Garau St
Bluffton, OH 45817
Phone (419) 358-9010

3525 Olentangy River Rd
Ste 5360
Columbus, OH 43214
Phone (614) 340-7747

100 E Campus View Blvd
Ste 160
Columbus, OH 43235
Phone (614) 396-4750

3555 Olentangy River Rd
Ste 2050
Columbus, OH 43214
Phone (614) 340-7741

3535 Olentangy River Rd
Columbus, OH 43214
Phone (614) 566-1997

7651 Stagers Loop
Delaware, OH 43015
Phone (740) 201-0222

Interoperability endpoints

  • Direct secure messaging: jason.shonk@mmhs.medicity.net

Organizations & group practices 4

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210723200000",
    "number": "1114906211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E CAMPUS VIEW BLVD",
            "address_2": "STE 160",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432354647",
            "telephone_number": "614-396-4750",
            "fax_number": "614-396-4742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3525 OLENTANGY RIVER RD",
            "address_2": "STE 5360",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432143937",
            "telephone_number": "614-340-7747",
            "fax_number": "614-340-7742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHONK",
        "first_name": "JASON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-17",
        "last_updated": "2008-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "35085818",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00245187",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2569073",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.