Individual provider Active NPI

David B Shuster, MD

  • Spinal Cord Injury Medicine Physician
  • Kettering, OH
National Provider Identifier
1194770453
Registry record updated Apr 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Spinal Cord Injury Medicine PhysicianTaxonomy code 2081P0004X
License
35-05-9855-S Issued in OH
Practice address
580 Lincoln Park Blvd Ste 255
Kettering, OH 45429-3493
Phone
(937) 266-4668
Fax
(866) 839-8449
NPI assigned
May 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Spinal Cord Injury Medicine Physician 2081P0004X 35-05-9855-S OH Primary

Addresses

Primary practice location

580 Lincoln Park Blvd Ste 255
Kettering, OH 45429-3493

Mailing address

2312 Far Hills Ave
#349
Dayton, OH 45419-1512
Phone (937) 266-4668

Other identifiers 1

IdentifierTypeStateIssuer
0805203MedicaidOH

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
I20060707000045 OH Practitioner - Physical Medicine and Rehabilitation 9436161676 Practice locations: Kettering, OH

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Creighton University School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

580 Lincoln Park Blvd
Suite 255
Kettering, OH 45429-3493
Phone (937) 266-4668

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Breast & Cosmetic Surgery Inc PastSince May 9, 2021 Accepting new patients
David B Shuster Spinal Cord Injury Medicine PastSince Jan 1, 1990 Accepting new patients
J&W Surgical Services LLC PastSince Sep 13, 2020 Accepting new patients
Physical Medicine Associates Inc Spinal Cord Injury Medicine Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775433600000",
    "number": "1194770453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2312 FAR HILLS AVE",
            "address_2": "#349",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454191512",
            "telephone_number": "937-266-4668",
            "fax_number": "866-839-8449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 LINCOLN PARK BLVD STE 255",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454293493",
            "telephone_number": "937-266-4668",
            "fax_number": "866-839-8449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUSTER",
        "first_name": "DAVID",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P0004X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Spinal Cord Injury Medicine",
            "state": "OH",
            "license": "35-05-9855-S",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0805203",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kettering, OH

Sources for this page

Verify at the official NPI Registry.