Individual provider Active NPI

Michael J Shanafelt, D.O.

  • Internal Medicine Physician
  • Kent, OH
National Provider Identifier
1366420721
Registry record updated Apr 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
34006270 Issued in OH
Practice address
307 W Main St
Ste B
Kent, OH 44240-2400
Phone
(330) 678-7782
Fax
(330) 678-7892
NPI assigned
Jan 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 34006270 OH Primary

Addresses

Primary practice location

307 W Main St
Ste B
Kent, OH 44240-2400

Mailing address

PO Box 271
Cuyahoga Falls, OH 44222-0271
Phone (330) 923-7066

Other identifiers 1

IdentifierTypeStateIssuer
2036371MedicaidOH

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
I20100112000014 OH Practitioner - Internal Medicine 8426942418 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Ohio University, College of Osteopathic Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Unity Health Network LLCGroup PAC ID 0244379717, 59 clinicians

Practice addresses (Care Compare)

307 W Main St
Suite B
Kent, OH 44240-2400
Phone (330) 678-7782

Hospital & facility affiliations

  • Summa Home Health and Hospice LLC Home health agency, Akron, OH, CCN 367713
  • Summa Western Reserve Hospital Hospital, Cuyahoga Falls, OH, CCN 360150
  • Akron General Medical Center Hospital, Akron, OH, CCN 360027
  • Summa Health System Hospital, Akron, OH, CCN 360020

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34006270OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Unity Health Network, LLC Internal Medicine CurrentSince Dec 1, 2009 Accepting new patients
Primary Care Assoc of N Internal Medicine Current Accepting new patients
Unity Health Network, LLC CurrentSince Dec 1, 2009 Accepting new patients

Locations

1900 23rd St
Cuyahoga Fls, OH 44223
Phone (330) 929-2685

3033 State Rd
Ste 204
Cuyahoga Fls, OH 44223
Phone (330) 253-9727

3033 State Rd
Ste 101
Cuyahoga Fls, OH 44223
Phone (330) 923-8372

307 W Main St
Ste B
Kent, OH 44240
Phone (330) 678-7782

116 East Ave
Ste 3
Tallmadge, OH 44278
Phone (330) 633-7782

Interoperability endpoints

  • Direct secure messaging: michael.shanafelt@wrhs.eclinicaldirectplus.com

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1136419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619481600000",
    "number": "1366420721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 271",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442220271",
            "telephone_number": "330-923-7066",
            "fax_number": "330-923-8090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 W MAIN ST",
            "address_2": "STE B",
            "city": "KENT",
            "state": "OH",
            "postal_code": "442402400",
            "telephone_number": "330-678-7782",
            "fax_number": "330-678-7892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANAFELT",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-05",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "34006270",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2036371",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kent, OH

Sources for this page

Verify at the official NPI Registry.