Active NPI
Siddharth Shankar, MD
- Internal Medicine Physician
- Montgomery, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 35.151377
- Practice address
- 10506B Montgomery Rd Ste 407
Montgomery, OH 45242-4489 - Phone
- (513) 793-2077
- Fax
- (513) 793-4523
- NPI assigned
- Mar 21, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 35151377 | OH | |
| Student in an Organized Health Care Education/Training Program | 390200000X | OH | ||
| Internal Medicine Physician | 207R00000X | 35.151377 | OH | Primary |
Addresses
Primary practice location
10506B Montgomery Rd Ste 407
Montgomery, OH 45242-4489
Mailing address
10506B Montgomery Rd Ste 407
Montgomery, OH 45242-4489
Phone (513) 793-2077
Other practice location 1
375 Dixmyth Ave
Cincinnati, OH 45220-2475
Phone (513) 862-1800
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10506 Montgomery Rd
Montgomery, OH 45242-4489
375 Dixmyth Ave
Cincinnati, OH 45220-2475
379 Dixmyth Ave
Cincinnati, OH 45220-2475
Phone (513) 246-7000
Hospital & facility affiliations
- Good Samaritan Hospital
- Bethesda North
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.06 of 100
- Quality
- 88.71
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.82
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.01 of 100
- Quality
- 86.02
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35151377 | OH | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trihealth H LLC | Hospitalist | Current | Accepting new patients |
| Trihealth G, LLC | Current | Accepting new patients | |
| Trihealth G LLC | Internal Medicine | Current | Accepting new patients |
| Lima Memorial Joint Operating Company | Past | Accepting new patients | |
| The Good Samaritan Hospital of Cincinnati, Ohio | Past | Accepting new patients |
Locations
2001 Anderson Ferry Rd
Cincinnati, OH 45238
Phone (513) 922-1200
9070 Winton Rd
Cincinnati, OH 45231
Phone (513) 246-2750
4685 Forest Ave
Cincinnati, OH 45212
Phone (513) 853-4721
375 Dixmyth Ave
Ste 3135
Cincinnati, OH 45220
Phone (513) 862-3452
375 Dixmyth Ave
Cincinnati, OH 45220
Phone (513) 862-2432
10506B Montgomery Rd
Ste 407
Montgomery, OH 45242
10506 Montgomery Rd
Ste 407
Montgomery, OH 45242
Phone (513) 559-2485
Interoperability endpoints
- sshankar338954@direct.trihealth.com
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Cincinnati, OH
- NPI 1295862944
-
- Community/Retail Pharmacy
- Cincinnati, OH
- NPI 1184023640
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
-
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1508835828
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1396714663
-
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1457964041
-
- General Acute Care Hospital
- Montgomery, OH
- NPI 1477166064
-
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1508835828
-
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1740893320
-
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1851904445
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724716800000",
"number": "1245816271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10506B MONTGOMERY RD STE 407",
"city": "MONTGOMERY",
"state": "OH",
"postal_code": "452424489",
"telephone_number": "513-793-2077",
"fax_number": "513-793-4523"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10506B MONTGOMERY RD STE 407",
"city": "MONTGOMERY",
"state": "OH",
"postal_code": "452424489",
"telephone_number": "513-793-2077",
"fax_number": "513-793-4523"
}
],
"practiceLocations": [
{
"address_1": "375 Dixmyth Ave",
"address_purpose": "LOCATION",
"city": "Cincinnati",
"state": "OH",
"postal_code": "452202475",
"country_code": "US",
"telephone_number": "513-862-1800",
"fax_number": "513-751-8638",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHANKAR",
"first_name": "SIDDHARTH",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-03-21",
"last_updated": "2024-08-27",
"certification_date": "2024-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "OH",
"license": "35151377",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "OH",
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "35.151377",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Montgomery, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2024; 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.