Individual provider Active NPI

Shiloh Rose Thoman, DPM

  • Podiatrist
  • Shenandoah, TX
National Provider Identifier
1356848790
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
692179 Issued in TX
Practice address
1120 Medical Plaza Dr Ste 180
Shenandoah, TX 77380-3250
Phone
(281) 364-9041
NPI assigned
Apr 11, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 36.004000 OH
Student in an Organized Health Care Education/Training Program 390200000X
Podiatrist 213E00000X 692179 TX Primary

Addresses

Primary practice location

1120 Medical Plaza Dr Ste 180
Shenandoah, TX 77380-3250

Mailing address

1120 Medical Plaza Dr Ste 180
Shenandoah, TX 77380-3250
Phone (541) 740-0462

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210720000390 OH Practitioner - Podiatry 1951658905 Reassigns benefits to 1 organization
I20241018003792 TX Practitioner - Podiatry 1951658905 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Robert Neville and Associates PAGroup PAC ID 4688647498, 5 clinicians

Practice addresses (Care Compare)

1120 Medical Plaza Dr
Suite 180
Shenandoah, TX 77380-3250
Phone (281) 364-9041

Merit-based Incentive Payment System (MIPS)

Final score
94.68 of 100Reported as group
Quality
90.32
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue59
Removal of skin lesions1-10
Removal of nail tissue1868
Removal or shaving of skin growth718

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Healthdrive Podiatry Group, PC Podiatrist CurrentSince Jun 26, 2023 Accepting new patients
Robert Neville & Associates PA Podiatrist CurrentSince Sep 1, 2024 Accepting new patients
Legacy Foot and Ankle LLC Podiatrist CurrentSince Aug 14, 2022 Accepting new patients

Locations

20 S 3rd St
Ste 210
Columbus, OH 43215
Phone (614) 208-4973

655 Metro Pl S
Ste 600
Dublin, OH 43017
Phone (614) 323-3578

603 N State St
Girard, OH 44420
Phone (330) 545-4993

1120 Medical Plaza Dr
Ste 180
Shenandoah, TX 77380
Phone (281) 364-9041

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JBDBCD

Organizations & group practices 3

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": "1523404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1356848790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 MEDICAL PLAZA DR STE 180",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773803250",
            "telephone_number": "541-740-0462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 MEDICAL PLAZA DR STE 180",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773803250",
            "telephone_number": "281-364-9041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAN",
        "first_name": "SHILOH",
        "middle_name": "ROSE",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-11",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OH",
            "license": "36.004000",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "692179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shenandoah, TX

Sources for this page

Verify at the official NPI Registry.