NPIMap

Individual provider Active NPI

Shaban Al Shoshi, MD

  • Internal Medicine Physician
  • Wintersville, OH
National Provider Identifier
1114915899
Registry record updated Feb 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35073795 Issued in OH
Practice address
100 Welday Ave
Wintersville, OH 43953-3779
Phone
(740) 266-8004
Fax
(740) 266-8005
NPI assigned
Oct 7, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35073795 OH Primary

Addresses

Primary practice location

100 Welday Ave
Wintersville, OH 43953-3779

Mailing address

651 Colliers Way Ste 300
Weirton, WV 26062-5058
Phone (304) 797-6404

Other practice location 1

1828 Franklin St
Toronto, OH 43964-1949
Phone (740) 266-8004

Other identifiers 2

IdentifierTypeStateIssuer
20060675900OtherOHBUREAU OF WORKERS COMP
2054717MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, WV2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040325000001 OH Practitioner - Internal Medicine 5698667806 Reassigns benefits to 1 organization
I20150919000157 WV Practitioner - Internal Medicine 5698667806

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
WMC Physician Practices LLCGroup PAC ID 0244466753, 112 clinicians

Practice addresses (Care Compare)

100 Welday St
Wintersville, OH 43953-3779
Phone (740) 264-5770

2315 Sunset Blvd
Steubenville, OH 43952-2496

Hospital & facility affiliations

  • Capital Health Home Care Home health agency, Wintersville, OH, CCN 367204
  • Trinity Home Health Home health agency, Steubenville, OH, CCN 367135
  • Weirton Medical Center Home Health Home health agency, Weirton, WV, CCN 517118
  • Valley Hospice Inc Hospice, Rayland, OH, CCN 361522
  • Southern Care Youngstown Hospice, Youngstown, OH, CCN 361617
  • Weirton Medical Center, Inc Hospital, Weirton, WV, CCN 510023
  • Trinity Medical Ctr East &Trinity Medical Ctr West Hospital, Steubenville, OH, CCN 360211
  • Harrison Community Hospital Hospital, Cadiz, OH, CCN 361311
  • Laurels of Steubenville the Nursing home, Steubenville, OH, CCN 366363
  • Steubenville Country Club Manor Nursing home, Steubenville, OH, CCN 366241
  • Dixon Healthcare Center Nursing home, Wintersville, OH, CCN 365629
  • Gables Care Center Nursing home, Hopedale, OH, CCN 366052
  • Villa Vista Royale LLC Nursing home, Steubenville, OH, CCN 366416

Merit-based Incentive Payment System (MIPS)

Final score
70.84 of 100Reported as group
Quality
35.62
Promoting interoperability
96
Improvement activities
40
Cost
70.52

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35073795OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
WMC Physician Practices LLC Internal Medicine CurrentSince Jan 1, 2015 Accepting new patients
WMC Physician Practices LLC Internal Medicine CurrentSince Jan 1, 2015 Accepting new patients
Weirton Medical Center, Inc Past Accepting new patients
Reichart Leasing Co., LLC Past Accepting new patients
Cognitive Medicine Practice PLLC Past Accepting new patients
Laurels of Jefferson, LLC Past Accepting new patients

Locations

3150 Johnson Rd
Ste A
Steubenville, OH 43952
Phone (740) 264-1204

2315 Sunset Blvd
Ste C
Steubenville, OH 43952
Phone (740) 266-9411

4100 Johnson Rd
Ste 200
Steubenville, OH 43952
Phone (740) 266-8004

1828 Franklin St
Toronto, OH 43964
Phone (740) 337-1366

100 Welday Ave
Wintersville, OH 43953
Phone (740) 264-5770

250 Cadiz Rd
Wintersville, OH 43953
Phone (330) 343-4929

601 Colliers Way
Weirton, WV 26062
Phone (304) 364-5156

651 Colliers Way
Ste 300
Weirton, WV 26062
Phone (304) 797-6404

651 Colliers Way
Ste 207
Weirton, WV 26062
Phone (304) 797-6433

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FGFCBA/Endpoint/FGFCBA

Organizations & group practices 6

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 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1128643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614211200000",
    "number": "1114915899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "651 COLLIERS WAY STE 300",
            "city": "WEIRTON",
            "state": "WV",
            "postal_code": "260625058",
            "telephone_number": "304-797-6404",
            "fax_number": "304-797-7894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WELDAY AVE",
            "city": "WINTERSVILLE",
            "state": "OH",
            "postal_code": "439533779",
            "telephone_number": "740-266-8004",
            "fax_number": "740-266-8005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1828 Franklin St",
            "address_purpose": "LOCATION",
            "city": "Toronto",
            "state": "OH",
            "postal_code": "439641949",
            "country_code": "US",
            "telephone_number": "740-266-8004",
            "fax_number": "740-266-8005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHOSHI",
        "first_name": "SHABAN",
        "middle_name": "AL",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-07",
        "last_updated": "2021-02-25",
        "certification_date": "2021-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35073795",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUREAU OF WORKERS COMP",
            "identifier": "20060675900",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2054717",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wintersville, OH

Sources for this page

Verify at the official NPI Registry.