Active NPI
Shannon Marie Barillare, M.D.
- Family Medicine Physician
- Canfield, OH
National Provider Identifier
1285820175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 35.089101
- Practice address
- 3685 Stutz Dr
Ste 101
Canfield, OH 44406-9144 - Phone
- (330) 729-9514
- Fax
- (330) 729-9591
- NPI assigned
- Sep 24, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 35.089101 | OH | Primary |
Addresses
Primary practice location
3685 Stutz Dr
Ste 101
Canfield, OH 44406-9144
Mailing address
3685 Stutz Dr
Ste 101
Canfield, OH 44406-9175
Phone (330) 729-9514
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2217390 | Medicaid | OH | |
| H055260 | Other | OH | MEDICARE PTAN |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080725000686 | OH | Practitioner - Family Practice | 0648340877 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Medical College of Ohio, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mercy Health Physicians Youngstown, LLC
Practice addresses (Care Compare)
1044 Belmont Ave
Youngstown, OH 44504-1006
3685 Stutz Dr
Suite 101
Canfield, OH 44406-9155
Phone (330) 729-3125
Hospital & facility affiliations
- Expand Health Skilled at Home LLC
- MH St Elizabeth Youngstown Hospital
- HMHP St Elizabeth Boardman Health Center
- Surgical Hospital at Southwoods
- MH St Joseph Warren Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35.089101 | OH | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Health Physicians Youngstown LLC | Current | Accepting new patients | |
| Mercy Health Physicians Youngstown, LLC | Family Medicine | Current | Accepting new patients |
Locations
3685 Stutz Dr
Ste 101
Canfield, OH 44406
Phone (330) 259-0440
1044 Belmont Ave
Youngstown, OH 44504
Phone (330) 480-2182
7000 South Ave
Ste 2
Youngstown, OH 44512
Phone (330) 726-3456
250 E Federal St
Fl 4
Youngstown, OH 44503
Phone (330) 884-7010
Interoperability endpoints
- sbarillare42021@direct.bsmhealth.org
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Youngstown, OH
- NPI 1154636066
Family Medicine, OH
-
- Durable Medical Equipment & Medical Supplies
- Boardman, OH
- NPI 1750920245
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Youngstown, OH
- NPI 1548936156
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476144000000",
"number": "1285820175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3685 STUTZ DR",
"address_2": "STE 101",
"city": "CANFIELD",
"state": "OH",
"postal_code": "444069175",
"telephone_number": "330-729-9514",
"fax_number": "330-729-9591"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3685 STUTZ DR",
"address_2": "STE 101",
"city": "CANFIELD",
"state": "OH",
"postal_code": "444069144",
"telephone_number": "330-729-9514",
"fax_number": "330-729-9591"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARILLARE",
"first_name": "SHANNON",
"middle_name": "MARIE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-24",
"last_updated": "2016-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "35.089101",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2217390",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "H055260",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Canfield, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2016; 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.