Shane Keith Backus, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

35082724 Issued in OH

Practice address

838 Market Street
Zanesville, OH 43701

Phone

(740) 452-9319

Fax

(740) 452-2427

NPI assigned

Feb 8, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 8

Medicare fee-for-service enrollment

Enrolled in OH, IN2 enrollments

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 2

Specialty

Diagnostic Radiology

Education

West Virginia University School of Medicine, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mercy Health Physicians Youngstown Specialty Care LLCGroup PAC ID 3476950296, 463 clinicians

Columbus Radiology CorpGroup PAC ID 6507754983, 290 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Southeastern Ohio Regional Medical Center Hospital, Cambridge, OH, CCN 360203
• Coshocton Regional Medical Center Hospital, Coshocton, OH, CCN 360109
• MH St Elizabeth Youngstown Hospital Hospital, Youngstown, OH, CCN 360064
• MH St Joseph Warren Hospital Hospital, Warren, OH, CCN 360161
• HMHP St Elizabeth Boardman Health Center Hospital, Boardman, OH, CCN 360276

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations (25 of 26)

Interoperability endpoints

• Direct secure messaging: sbackus862564@direct.bsmhealth.org

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.

• Columbus Radiology Corp

  • Diagnostic Radiology Physician
  • Columbus, OH
  • NPI 1669408159
  Medicare reassignment Care Compare group NPD
• Mercy Health Physicians Youngstown Specialty Care LLC

  • Surgery Physician
  • Youngstown, OH
  • NPI 1649892225
  Medicare reassignment Care Compare group NPD
• Mercy Health Physicians Youngstown, LLC

  • Family Medicine Physician
  • Youngstown, OH
  • NPI 1154636066
  Medicare reassignment NPD
• Radiology Associates of Canton, Inc.

  • Diagnostic Radiology Physician
  • Canton, OH
  • NPI 1912982034
  Medicare reassignment NPD
• Imaging Associates of Indiana, PC

  • Diagnostic Radiology Physician
  • Indianapolis, IN
  • NPI 1699072611

  OH

  Medicare reassignment
• Mercy Health Physicians Youngstown LLC

  • Durable Medical Equipment & Medical Supplies
  • Boardman, OH
  • NPI 1750920245
  NPD
• Mercy Health Physicians Youngstown Specialty Care LLC

  • Durable Medical Equipment & Medical Supplies
  • Boardman, OH
  • NPI 1386316107
  NPD
• Mercy Health Physicians Youngstown Specialty Care LLC

  • Dentist
  • Youngstown, OH
  • NPI 1609544055
  NPD
• Radiology Associates of Canton, Inc

  • Diagnostic Radiology Physician
  • Canton, OH
  • NPI 1689842122
  NPD

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

• Mercy Health Youngstown LLC

  • Clinical Medical Laboratory
  • Warren, OH
  • NPI 1538233309

  Hospital

  Care Compare affiliation
• Mercy Health Youngstown LLC

  • General Acute Care Hospital
  • Youngstown, OH
  • NPI 1548296106
  Care Compare affiliation
• Mercy Health Youngstown LLC

  • General Acute Care Hospital
  • Warren, OH
  • NPI 1629009964
  Care Compare affiliation
• Mercy Health Youngstown LLC

  • General Acute Care Hospital
  • Youngstown, OH
  • NPI 1790868982
  Care Compare affiliation
• Mercy Health Youngstown LLC

  • Clinical Medical Laboratory
  • Youngstown, OH
  • NPI 1831600295

  Hospital

  Care Compare affiliation
• Prime Healthcare Foundation - Coshocton, LLC

  • General Acute Care Hospital
  • Coshocton, OH
  • NPI 1013468172
  Care Compare affiliation
• Southeastern Ohio Regional Medical Center Inc

  • Rural Acute Care Hospital
  • Cambridge, OH
  • NPI 1346247350
  Care Compare affiliation

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654128000000",
    "number": "1184697484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13333 NORTHWEST FWY",
            "address_2": "STE 540",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770406166",
            "telephone_number": "740-452-9319",
            "fax_number": "740-452-2427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "838 MARKET STREET",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "43701",
            "telephone_number": "740-452-9319",
            "fax_number": "740-452-2427"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "639 W Main St",
            "address_purpose": "LOCATION",
            "city": "Barnesville",
            "state": "OH",
            "postal_code": "437131039",
            "country_code": "US",
            "telephone_number": "740-425-3941",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "601 Colliers Way",
            "address_purpose": "LOCATION",
            "city": "Weirton",
            "state": "WV",
            "postal_code": "260625014",
            "country_code": "US",
            "telephone_number": "304-797-6000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Medical Park",
            "address_purpose": "LOCATION",
            "city": "Wheeling",
            "state": "WV",
            "postal_code": "260036379",
            "country_code": "US",
            "telephone_number": "304-243-3270",
            "fax_number": "304-243-2973",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "951 E Market St",
            "address_purpose": "LOCATION",
            "city": "Cadiz",
            "state": "OH",
            "postal_code": "439079799",
            "country_code": "US",
            "telephone_number": "740-942-4631",
            "fax_number": "740-942-2749",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "90 N 4th St",
            "address_purpose": "LOCATION",
            "city": "Martins Ferry",
            "state": "OH",
            "postal_code": "439351648",
            "country_code": "US",
            "telephone_number": "740-633-1100",
            "fax_number": "740-633-4512",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3 E Benjamin Dr",
            "address_purpose": "LOCATION",
            "city": "New Martinsville",
            "state": "WV",
            "postal_code": "261552705",
            "country_code": "US",
            "telephone_number": "304-455-8000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 Wheeling Ave",
            "address_purpose": "LOCATION",
            "city": "Glen Dale",
            "state": "WV",
            "postal_code": "260381660",
            "country_code": "US",
            "telephone_number": "304-843-3310",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BACKUS",
        "first_name": "SHANE",
        "middle_name": "KEITH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-08",
        "last_updated": "2022-06-02",
        "certification_date": "2022-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "35082724",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2409870",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sbackus316909@direct.wvuhsdirect.com",
            "affiliation": "N",
            "address_1": "601 Colliers Way",
            "city": "Weirton",
            "state": "WV",
            "country_code": "US",
            "postal_code": "260625014",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sbackus316909@direct.wvuhsdirect.com",
            "affiliation": "N",
            "address_1": "838 Market Street",
            "city": "Zanesville",
            "state": "OH",
            "country_code": "US",
            "postal_code": "43701",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sbackus316909@direct.wvuhsdirect.com",
            "affiliation": "N",
            "address_1": "3 E Benjamin Dr",
            "city": "New Martinsville",
            "state": "WV",
            "country_code": "US",
            "postal_code": "261552705",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sbackus316909@direct.wvuhsdirect.com",
            "affiliation": "N",
            "address_1": "1 Medical Park",
            "city": "Wheeling",
            "state": "WV",
            "country_code": "US",
            "postal_code": "260036379",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sbackus316909@direct.wvuhsdirect.com",
            "affiliation": "N",
            "address_1": "800 Wheeling Ave",
            "city": "Glen Dale",
            "state": "WV",
            "country_code": "US",
            "postal_code": "260381660",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sbackus316909@direct.wvuhsdirect.com",
            "affiliation": "N",
            "address_1": "90 N 4th St",
            "city": "Martins Ferry",
            "state": "OH",
            "country_code": "US",
            "postal_code": "439351648",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sbackus316909@direct.wvuhsdirect.com",
            "affiliation": "N",
            "address_1": "639 W Main St",
            "city": "Barnesville",
            "state": "OH",
            "country_code": "US",
            "postal_code": "437131039",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sbackus316909@direct.wvuhsdirect.com",
            "affiliation": "N",
            "address_1": "951 E Market St",
            "city": "Cadiz",
            "state": "OH",
            "country_code": "US",
            "postal_code": "439079799",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jeffrey L. Austen, MD
• Autumn Health Care of Zanesville
• Callie Avery
• Carla Babcock, MASSAGE THERAPIST
• Deann Elizabeth Backus
• Vicki Bader
• Patricia Renee Baesel, PTA
• Imayah R Bailey
• Janet Irene Bailey
• Karen Bailey, LPN

• Diagnostic Radiology Physician in Zanesville, OH
• Providers in Zanesville, OH by specialty
• Diagnostic Radiology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.