Individual provider Active NPI

Shirelle D. Applin, M.D.

  • Family Medicine Physician
  • Springfield, OH
National Provider Identifier
1336196872
Registry record updated Aug 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35075891A Issued in OH
Practice address
1343 N Fountain Blvd
Ste 250
Springfield, OH 45504-1422
Phone
(937) 523-9050
Fax
(937) 523-9059
NPI assigned
May 30, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35075891A OH Primary

Addresses

Primary practice location

1343 N Fountain Blvd
Ste 250
Springfield, OH 45504-1422

Mailing address

3170 Kettering Blvd
Moraine, OH 45439-1924
Phone (937) 991-3188

Other identifiers 2

IdentifierTypeStateIssuer
P00432942OtherOHRAILROAD MEDICARE
2177166MedicaidOH

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
I20031104000173 OH Practitioner - Family Practice 6901718352 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
87.23 of 100Reported as group
Quality
83.64
Promoting interoperability
100
Improvement activities
40
Cost
73.78

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35075891AOHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mvhe Inc CurrentSince Nov 26, 2018 Accepting new patients
Mvhe Inc Family Medicine Current Accepting new patients
Alliance Physicians Inc CurrentSince Oct 9, 2024 Accepting new patients
Alliance Physicians Inc Family Medicine CurrentSince Oct 9, 2024 Accepting new patients
Mvhe Inc CurrentSince Nov 26, 2018 Accepting new patients
Waterstreet Family Practice, Inc. Past Accepting new patients
Medical Service Associates of Xenia Inc Family Medicine Past Accepting new patients
Greene Memorial Hospital Services Inc Family Medicine Past Accepting new patients

Locations

722 N Fairfield Rd
Beavercreek, OH 45434
Phone (937) 208-7000

29 Kyle Dr
Cedarville, OH 45314
Phone (937) 766-2611

111 Turner Rd
Dayton, OH 45415
Phone (937) 529-4376

3095 Dayton Xenia Rd
Dayton, OH 45434
Phone (513) 426-7691

7740 Washington Village Dr
Ste 130
Dayton, OH 45459
Phone (513) 932-4891

2451 Wayne Ave
Dayton, OH 45420
Phone (937) 252-1831

4790 Cottonville Rd
Jamestown, OH 45335
Phone (937) 675-2870

1 Prestige Pl
Ste 550
Miamisburg, OH 45342
Phone (937) 752-2306

1625 S Alex Rd
West Carrollton, OH 45449
Phone (937) 865-0534

1141 N Monroe Dr
Xenia, OH 45385
Phone (937) 352-2000

50 N Progress Dr
Xenia, OH 45385
Phone (937) 352-2850

888 Dayton St
Unit 200
Yellow Springs, OH 45387
Phone (937) 767-7291

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566172800000",
    "number": "1336196872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3170 KETTERING BLVD",
            "city": "MORAINE",
            "state": "OH",
            "postal_code": "454391924",
            "telephone_number": "937-991-3188",
            "fax_number": "937-223-9811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1343 N FOUNTAIN BLVD",
            "address_2": "STE 250",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455041422",
            "telephone_number": "937-523-9050",
            "fax_number": "937-523-9059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "APPLIN",
        "first_name": "SHIRELLE",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-30",
        "last_updated": "2019-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35075891A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00432942",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2177166",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, OH

Sources for this page

Verify at the official NPI Registry.