Individual provider Active NPI

Adam L Shope, MD

  • Emergency Medicine Physician
  • Springfield, OH
National Provider Identifier
1376571273
Registry record updated May 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
35087201 Issued in OH
Practice address
1343 N Fountain Blvd
Springfield, OH 45504-1422
Phone
(937) 390-5000
Fax
(937) 390-5526
NPI assigned
Jun 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 35087201 OH Primary

Addresses

Primary practice location

1343 N Fountain Blvd
Springfield, OH 45504-1422

Mailing address

4750 Hempstead Station Dr
Kettering, OH 45429-5164
Phone (800) 875-0136

Other identifiers 3

IdentifierTypeStateIssuer
P00324626OtherRAIL ROAD MEDICARE
000000487944OtherOHBCBS
2668859MedicaidOH

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
I20060817000307 OH Practitioner - Emergency Medicine 0345243176 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Toledo College of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

272 Hospital Rd
Chillicothe, OH 45601-9031
Phone (740) 779-7500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35087201OHMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Physicians of Champaign County LTD Emergency Medicine CurrentSince Jul 28, 2020 Accepting new patients
Ohio Emergency Professionals Inc Emergency Medicine CurrentSince Jun 1, 2022 Accepting new patients
Hospitalist Medicine Physicians of Ohio - Cincinnati Professional Corp Emergency Medicine CurrentSince Oct 5, 2024 Accepting new patients
Emergency Professional Services, Inc. Emergency Medicine CurrentSince Jun 1, 2022 Accepting new patients
Spfld Urb Emergency Physicians Inc Emergency Medicine Past Accepting new patients
Spfld Urb Emergency Physicians Inc Emergency Medicine Past Accepting new patients

Locations

272 Hospital Rd
Chillicothe, OH 45601
Phone (740) 779-4275

550 Mirabeau St
Greenfield, OH 45123
Phone (937) 672-4128

630 Eaton Ave
Hamilton, OH 45013
Phone (513) 867-2000

18697 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 816-8000

100 Medical Center Dr
Springfield, OH 45504
Phone (937) 523-1000

904 Scioto St
Urbana, OH 43078
Phone (937) 293-0136

100 Dawn Ln
Waverly, OH 45690
Phone (740) 947-2186

Organizations & group practices 6

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 1

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": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212019200000",
    "number": "1376571273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4750 HEMPSTEAD STATION DR",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454295164",
            "telephone_number": "800-875-0136",
            "fax_number": "937-619-4231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1343 N FOUNTAIN BLVD",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455041422",
            "telephone_number": "937-390-5000",
            "fax_number": "937-390-5526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOPE",
        "first_name": "ADAM",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2008-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "35087201",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "P00324626",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000000487944",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2668859",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, OH

Sources for this page

Verify at the official NPI Registry.